PDPM, Let’s Do Some Math…


PDPM (Patient Driven Payment Model) aka RCS v2, aka RCS lite, aka Provider Driven Payment Model (my personal favorite), aka the worst thing ever for therapy, etc. I remember when PPS (Perspective Payment System) came and many thought this was the worst thing ever for therapy.  Many companies declared bankruptcy. (The one I worked for… Continue reading PDPM, Let’s Do Some Math…

PDPM – Section GG Functional Scores By State (& County!)


The enhanced provider specific file for PDPM released by CMS has given us an unusual opportunity to study and understand things going on in our industry in a much more timely manner than we’re accustomed to. Let’s hope this trend continues. In this post we’re going to be looking at the new functional scoring technique… Continue reading PDPM – Section GG Functional Scores By State (& County!)

PDPM – Nursing Categories


CMS has released a provider specific impact analysis for PDPM using 2017 data. There’s a lot to analyze and that takes time. However, one interesting question we can answer with the data is something along the lines of “What would happen if all the therapy minutes disappeared?”  (Note: Since CMS still refers to the nursing… Continue reading PDPM – Nursing Categories

PDPM Calculator Available!


We’ve just released the PDPM Calculator! (We’ve also retired the RCS-1 Calculator since that proposal is effectively retired. You can still access that calculator here if you want to compare or you’re feeling nostalgic.) Why build a PDPM calculator when CMS released their own Excel-based grouper tool? We felt like the Excel tool was a… Continue reading PDPM Calculator Available!

Test Your Jimmo v. Sebelius Knowledge


It’s been more than 5 years since the landmark Jimmo V Sebelius case. That case is arguably the most important thing to happen to therapy delivery in skilled nursing during the last decade. However, it seems like no one is talking about it and many aren’t even aware of what it means. Let’s hit some… Continue reading Test Your Jimmo v. Sebelius Knowledge

Latest ADL Scoring By State


The Pepper reports give us a glimpse into trends in Medicaid Part A in skilled nursing facilities. Sometimes you have to do a little summarizing yourself to figure out what you want to know. What I wanted to know was “Which states report the highest ADL scores?” Pepper had the data but it needed a… Continue reading Latest ADL Scoring By State