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Government sources documents
PDPM Virtual Workshop
PDPM Game Plan
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The Patient-Drive Payment Model (PDPM) is here, and AANAC will continue to help you through the transition. Visit this page frequently for new tools, education, and resources for ongoing success under PDPM.
This message will appear in this week’s edition of MLN Connects, but we wanted to give our partners advance notice—please share with your members.
SNF PDPM Claims Issue
Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) initial claims that are processed out of sequence are not paying the correct Variable Per Diem (VPD)-adjusted rate. Also all adjustment claims are not processing correctly. Claims need to process in date of service order for each stay for the VPD to calculate correctly. We will correct this issue in October. In the interim:
Director, Division of Provider Relations & Outreach
Provider Communications Group
Centers for Medicare & Medicaid Services