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
Tag: PDPM
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
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