New CMS payment system for skilled nursing facilities reimburses providers for care not volume

CMS new Patient-Driven Payment Model (PDPM) will be implemented on Oct. 1, 2019. CMS finalized the Patient-Driven Payment Model for skilled nursing facilities (SNF), which will link Medicare payments to value and care, rather than volume/ fee-for-service care. The rule according to news reports “would reduce documentation standards around patient assessments, saving facilities approximately $2 billion over 10 years,” and would “give a $975 million collective raise next year to post-acute care providers including skilled-nursing facilities, inpatient psychiatric facilities and inpatient rehab facilities.” According to the CMS fact sheet The final rule also modernizes Medicare through innovation in SNF, meaningful quality measure reporting, reduced paperwork, and reduced administrative costs. How It Works – The PDPM model will use ICD-10 diagnosis codes, patient characteristics, and other clinically relevant factors to classify…

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