Changes to a key component of the Patient Driven Payment Model remain in limbo two years after they were first proposed, but federal regulators are still poised to refine the system to accommodate for ...
The patient-driven payment model (PDPM) has revolutionized health care for providers and their patients. These systems heighten treatment accuracy and ensure clients receive accurate billing for their ...
On July 31, 2023, CMS issued its final rule updating the rates and Medicare payment policies under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for FY 2024 (the Final Rule). The ...
Nursing homes have forced Medicare to realign its spending on patients with higher medical complexity, including those with a primary diagnosis of congestive heart failure, Alzheimer’s disease and ...
Skilled nursing facilities will get a 3.2% bump per the final rule issued by the Centers for Medicare and Medicaid Services on Thursday. For fiscal year 2026, CMS is making the update to the Skilled ...
The Centers for Medicare and Medicaid Services has issued a final rule updating Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective ...
On October 1, 2019, CMS implemented a new case-mix classification model called the Patient Driven Payment Model (PDPM). PDPM replaced the prior case-mix classification model, the Resource Utilization ...
CMS contracted with Acumen, LLC for SNF reform and Abt Associates for HHA reform. The goal in both cases was to develop an alternative case-mix adjustment methodology, in which Medicare payments would ...