PDPM is the proposed skilled nursing facility (SNF) payment system designed to promote value-based care by shifting incentives from the volume of services a patient receives to a system where payments are based on the patient’s condition and care needs. A CMS fact sheet on the final rule, effective October 1, 2019, provides more details on this new case-mix model and incentive changes.
Join PointRight’s team of Senior Health Care specialists in a series of education webinars that will help you understand what PDPM is, what it isn’t and how you can prepare your organization to support PDPM implementation. You can sign up for our live webinars below or sign up to get alerts for the full series as the webinar dates are published.
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This fifth session will discuss the components of PDPM and how they contribute to the overall payment rate. We will dig into the Variable Adjustment Factor for the PT/OT and NTA components, and show examples of how the per diem rate changes over the length of the Medicare stay. In addition, we will discuss the Interim Payment Assessment (IPA) and Interrupted Stay Policy: two aspects of PDPM that may significantly affect reimbursement. Facility policy and care coordination processes play a role in ensuring PDPM success; we will outline opportunities for improvement and strategies for facilitating these changes in your organization.
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