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
Tag: 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
PDPM Calculator & Wage Indexing
Since we launched our PDPM Calculator, it’s become one of the most popular things on our site. It’s even the second (and third) result on Google for “PDPM calculator”. One request we’ve heard a few times is to add wage indexing so you can see what the rates look like where you live. There are… Continue reading PDPM Calculator & Wage Indexing
Q&A with Joel VanEaton
Recently Broad River Rehab welcomed Joel VanEaton to the team. In this posting we’re going to ask Joel some burning questions we’ve been wondering about and get his perspective. BRR: How will PDPM change the role of the MDS nurse? JVE: Under PDPM the MDS nurse will only become more important for one primary reason:… Continue reading Q&A with Joel VanEaton
PDPM – Section GG
By now you’ve problem heard that section GG is taking on increased importance with PDPM. Some are even saying that Section GG will become the key to outcome-based payments. Suffice to say, now is the time to brush up on your familiarity with Section GG. Section GG is is included in the Broad River Rehab… Continue reading PDPM – Section GG
PDPM Non-Therapy Ancillary Pay
PDPM and Non-Therapy Ancillaries The non-therapy ancillary (NTA) part of the patient driven payment model (PDPM) is considered by most people I’ve talked to as being better than what we’re currently doing. It more accurately accounts for expenses and isn’t overshadowed by therapy. In this post I’m going to take a deeper look at it… Continue reading PDPM Non-Therapy Ancillary Pay
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…
SNF Part A LOS – 2017
Part A Length of Stay – All SNFs Nationwide The PDPM enhanced data set has enough information in it to calculate length of stay at the facility level for Part A for 2017. Naturally we’re interested in length of stay so we did a little analysis which we’ll share here. First, let’s look at the… Continue reading SNF Part A LOS – 2017
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