Delivered twice a month to members, the  LTC Newsletter  provides expert analysis, updates, tips, and tools. 

Challenge Question: PDPM Reimbursement

By AANAC - February 06, 2019

Challenge Question: Under the Patient-Driven Payment Model, reimbursement for the physical therapy (PT) and occupational therapy (OT) components are based on:

a.    Reimbursable therapy minutes and days throughout the Medicare stay.

b.    Resident characteristics as determined by the therapy evaluation.

c.     Resident characteristics including the primary reason for the SNF PPS stay and section GG function scores.

d.    Resident characteristics including ICD-10 codes, therapy minutes, and ADL index.