Since we launched the PDPM Calculator in May of 2018, we’ve received an incredible amount of positive feedback. We’re truly flattered by the response. What started as a tool to help us understand PDPM has turned into something the entire community is using to get ready for this change. We’d like to say a HUGE… Continue reading PDPM Calculator – Thank You!
Tag: PDPM
PDPM Navigator™
You might have noticed that we’ve been pretty quiet on the blog recently. The reason is that we’ve been very busy building a tool for the future. Our PDPM Calculator is incredibly popular but it doesn’t work well on a phone. We decided we needed a mobile version. THEN we decided to make it better,… Continue reading PDPM Navigator™
The Do’s and Don’ts in a Rehab Contract (you WILL amend your contract this year)
With PDPM looming, the industry is abuzz with pricing models as the current RUV IV pricing will no longer apply. Your current rehab provider will come to you soon and propose an amendment to your current contract to account for patient treatment falling under PDPM. This is a PERFECT time for you to not only… Continue reading The Do’s and Don’ts in a Rehab Contract (you WILL amend your contract this year)
SLP and PDPM: Integration equals Value and Outcomes
Like a diamond, the new Patient Driven Payment Model (PDPM) is a multifaceted reimbursement system that reflects the various aspects of resident care in a SNF more clearly that the current RUG based system. It is a system that providers must master before it becomes the reality of how SNF’s are reimbursed beginning Oct. 1st.… Continue reading SLP and PDPM: Integration equals Value and Outcomes
Minor Changes to PDPM Calculator
We’ve made a couple of minor changes to the PDPM calculator. As CMS releases more information, we will continue to update the calculator to keep it as accurate as possible. For today’s update, we have two minor changes: Under some circumstances, it is possible that the PT/OT category will not be “Acute Neurologic” even though… Continue reading Minor Changes to PDPM Calculator
Paying for Rehab Under PDPM
Under PDPM, rehab will become a cost and no longer be a source of revenue. Since outcomes are still job one, you might be wondering just how you’re going to pay for the rehab that is necessary to achieve the best possible patient outcome. Planning is critical to your success. Contrary to what a lot… Continue reading Paying for Rehab Under PDPM
Part A RUGs – Some Observations
Do you want to see a picture that explains a lot about skilled nursing right now? Take a look at this: (click to enlarge) View fullsize This is from the 2016 Medicare Part A data that CMS released a few days ago. There is a lot to unpack in that data set, but just based… Continue reading Part A RUGs – Some Observations
PDPM, Non-Therapy Ancillaries & MDS Section I
PDPM includes a new pay category, the non-therapy ancillary or NTA. Everyone I’ve talked to agrees the NTA payment is a good idea. But, since it’s new, we’re going to have to work on understanding how it’s supposed to work, and how we can most easily and efficiently complete the assessment with accurate information. View… Continue reading PDPM, Non-Therapy Ancillaries & MDS Section I
Understanding the Value of the MDS Nurse Under PDPM
As the SNF world draws its collective breath and begins to consider the Patient Driven Payment Model (PDPM), the new reimbursement system that will drive payment for Medicare Part A for SNFs starting October 1, 2019, there are many questions and misunderstandings. Because of the major changes to the payment system, compared to RUG IV… Continue reading Understanding the Value of the MDS Nurse Under PDPM
PDPM, SNFs & Therapy Contracts
PDPM is scheduled to be implemented October 1, 2019 for traditional Medicare Part A patients in the SNFs. This will mean your therapy company will probably need to amend their contract to accommodate this new type of payor source. So how will you be charged? Since history is a pretty good indicator of the future,… Continue reading PDPM, SNFs & Therapy Contracts