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...
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.
MDS meets VBP: I love a good value, don’t you?
By
Joel VanEaton
Oct 10, 2022
I love a good value, don’t you? It’s hard to find one these days in this economy. Recently a friend of mine purchased a used vehicle from a reputable local dealership. Within a week, the engine...
The top lessons learned from the AHCA’s 2021 Convention and Expo
By
Tamar Abell
Nov 05, 2021
Attending the American Health Care Association’s (AHCA) 2021 Convention and Expo this year felt like reuniting with friends after spending two years on the frontline of a battlefield. The...
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...
CMS: Providers themselves hold the key to regulators’ ultimate PDPM decision
By
Danielle Brown
Aug 06, 2021
Provider comments will be vital in determining the fate of potential pay adjustments to the Patient Driven Payment Model, federal health officials said Thursday.
Providers tell CMS it’s ‘decidedly’ the wrong time to toy with PDPM rates
By
Kimberly Marselas
Jun 03, 2021
Providers need more time before the Centers for Medicare & Medicaid Services would implement any adjustments to PDPM payment rates, operators and associations have told the agency in official comments.
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...
CMS let the cat out of the bag, but it’s managed care that’s ready to pounce
By
Kimberly Marselas
May 05, 2021
If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately
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...