The PDPM Calculator helps you understand how changes in Default Clinical Category, Section GG, Speech and Language Pathology, Non-Therapy Ancillaries and Nursing Categories will change your PDPM categorization AND pay. All urban and rural areas are included.
Among the many required updates that CMS is mandated to make each year related to the SNF PPS rate, there is one pesky little number that often gets lost in the shuffle. That number is the wage index. The wage index is an adjustment to the SNF PPS rate that accounts for regional differences in… Continue reading SNF FY 2022 Proposed Rule – Learn the Facts Behind the Headlines Part 2: Don’t Forget About Your Wage Index!
PDPM Navigator is the most popular PDPM app in the country for skilled nursing! It’s rich feature set makes it ideal for a wide range of use cases. Join the tens of thousands who’ve already downloaded it for education, pre-admission estimates, IPA checks, triple-check, reference and clinical pathways.
Since the inception of the PDPM, providers have grappled with the nuances of the new payment system in an effort to ensure that reimbursement accommodate the services that are provided to each resident. The challenge has been that the PDPM is nothing like the former RUG-IV system in which facilities were essentially paid for volume… Continue reading The Power of the PDPM Primary Diagnosis
We are now more than a year into PDPM. How’s it going? If you are like most people, you are doing better financially with PDPM than with the RUG-IV, 66 grouper it replaced. In fact the data is pretty clear that almost everyone is doing better financially under PDPM. Now we are starting to hear… Continue reading PDPM, Medicaid and the Future
We just updated the PDPM Calculator for CMS fiscal year 2021. The updates include: New wage indexing. New base rates New labor/non-labor split For those of you who use PDPM Navigator, those same changes are headed to your phone and/or tablet. iPhone users should see an update very early in the morning of October 1st.… Continue reading PDPM Calculator & PDPM Navigator™ Updates for FY2021
CMS FY 2021 will be here in a few short days and with it the changes that have been finalized by CMS in the final rule on July 31st. One of the important changes that will occur this year has to do with the wage index. The wage index is an adjustment made to the… Continue reading Wage Indexes are Changing. Get Ready for Yours!
In just a few short weeks, we will begin the second FY since the initiation of the PDPM. With the unprecedented encounter we have had with the COVID PHE, there have been decisions on the part of CMS to limit the number of obvious changes that were to take effect this fall. However, due to… Continue reading FY 2021 SNF PPS Final Rule, what you need to know!
Do you know how you compare to other skilled nursing facilities in the state? How do you compare to the nation? Do other facilities find more NTA points than you? Is your percentage of clinically complex similar to other facilities in your state? Do you document more or less depression than average? How does your… Continue reading PDPM Report Cards
When $59 per Day, per PDPM Patient is a Good Thing When $59 per Day, per PDPM Patient is a Great Thing When $59 per Day, per PDPM Patient is a Shameful Thing I have been in the management of therapy delivery in SNFs for a very long time. I have seen, and probably know,… Continue reading $59/Day: Good, Great and Shameful