CMS changes PDPM website, says new RAI manual to be delivered early
By
Marty Stempniak
Feb 15, 2019
After receiving a barrage of feedback, the Centers for Medicare & Medicaid Services is updating its new website for the Patient-Driven Payment Model, and touting a quick release for a much-anticipated...
Ask the payment expert … about MDS payment implications
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Sep 12, 2023
Q: Are changes to the Patient Driven Payment Model expected with the revised MDS in October?
Higher facility assessment fees would fund measures to improve staffing, reduce resident density
By
Danielle Brown
May 24, 2021
Illinois lawmakers are looking to increase assessment fees paid by nursing homes in order to fund a proposed law that aims to change the way providers are reimbursed in a push to reduce understaffing and...
Azar toes company line, which isn’t half bad
By
James M. Berklan
Jun 06, 2018
When the Secretary of the Department of Health and Human Services addressed a gathering of nursing home owners and operators Tuesday in Washington, it might not have been the HHS Secretary everyone had...
Providers ‘on notice’ as CMS pressures states to shift Medicaid pay metrics
By
Kimberly Marselas
Nov 10, 2022
Providers still struggling to accurately capture diagnoses that drive federal reimbursement will be doubly left behind as more states start to use Patient Driven Payment Model-like systems to determine...
SNF Industry: It’s time for a PDPM ‘Come-to-Jesus’
By
Renee Kinder
Oct 11, 2018
I have, unfortunately, heard some off-track conversations about the “goals” and “outcomes” of what the Patient-Driven Payment Model will do to the industry. To say I have been shocked, appalled...
CMS eyeing PDPM case-mix additions, changes
By
Kimberly Marselas
Apr 24, 2023
Federal regulators are weighing changes to the three-year-old Patient Driven Payment Model to account for missed opportunities — and potentially inappropriate coding choices — a top Medicare official...
Skilled care operators might want to curb their PDPM enthusiasm
By
John O'Connor
May 07, 2018
If some operators are getting the PDPM tingly-dinglys, I’m experiencing something else: a sense of déjà vu.
Long-term care: a bear or bull market?
By
John O'Connor
Apr 18, 2022
When it comes to the long-term care market, is this a time to view it as bearish or bullish?
CMS combing the data as it narrows PDPM adjustment targets
By
Danielle Brown
Apr 23, 2021
The Centers for Medicare & Medicaid Services has been monitoring and conducting “very comprehensive data analysis” to identify any trends or changes in provider behavior, payments and beneficiary care...