I remember when the Patient Driven Payment Model rule was just a proposal inching its way toward finalization, its concept of assigning points for specific non-therapy ancillary costs a pretty exciting...
To survive under PDPM, smart operators must integrate themselves into hospital networks, invest in tech,...
By
Marty Stempniak
Mar 28, 2019
A banking expert is predicting that the skilled nursing industry’s new payment model is going to create a world of “haves” and “have-nots.”
Copernicus update! The Earth now revolves around ICD-10 codes
By
Steven Littlehale
Oct 03, 2018
In the past, our skilled nursing world has revolved around a sun of its own, known as resource utilization groups (particularly the lucrative high-therapy ones). Now, however, according to the details...
Ensign execs see potential 5% PDPM cut as acquisition opportunity, concerned about CMS calculations
By
Danielle Brown
May 03, 2021
A recalibration of the Patient Driven Payment Model’s parity adjustment has several long-term care operators worried about potential steep cuts to skilled nursing reimbursements. But executives with...
Cutting red tape, except for skilled care operators?
By
John O'Connor
Oct 29, 2018
Despite recent government officials’ pronouncements, it seems everyone has less red tape to deal with — except, apparently, skilled care operators.
New analysis helps providers prep for PDPM, highlights 3 key attributes of nursing homes that excel in...
By
Marty Stempniak
Mar 06, 2019
Many skilled nursing operators are not prepared for the industry’s upcoming payment model switch, but a new analysis shares some key tips to close that knowledge gap.
SNF therapy: Time per-patient declined 80 minutes, staffing off nearly 15% with PDPM, study finds
By
Danielle Brown
May 10, 2021
The implementation of the Patient Driven Payment Model resulted in a huge drop-off in therapy staffing at nursing homes, a new study confirms. The findings have researchers concerned that the declines...
Research those CMS dinner invitations thoroughly
By
James M. Berklan
Aug 13, 2021
I don’t know what was more shocking this week: A warning that federal regulators might actually double the amount they could trim from nursing home reimbursement rates next year or the way some veteran...
Need a PDPM boost? A new study points to physiatrists for $34,000 monthly kick
By
Kimberly Marselas
Oct 20, 2022
Physiatrists can help skilled nursing facilities more accurately capture reimbursement under the Patient Driven Payment Model, a leading payment consultant said Tuesday.
A new kind of COVID-19-fueled drama unfolding right before our eyes
By
James M. Berklan
Mar 05, 2021
When providers get back to operating more the way they want to, will stakeholders be amused or will they feel like they’re watching an unfolding tragedy?