Patient-Driven Payment Model (PDPM)

The Patient-Drive Payment Model (PDPM) is scheduled to begin Oct. 1, 2019, and AANAC is here to help!

The Centers for Medicare & Medicaid Services released the Fiscal Year (FY) 2019 Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule, which solidified their plans to implement PDPM.  PDPM is set to replace the RUG-IV case-mix classification model that has been the hallmark of SNF PPS for years. This new payment system will be unlike anything SNFs have seen before! You and your staff have a lot to do to get ready for PDPM, and AANAC will be with you the entire way.  Visit this page frequently to get tools, education, and resources to help you lead your team readiness.

Q&A: Under PDPM, if we complete an IPA, and more points are achieved in the NTA component, will the first 3 payment days of the IPA have the adjustment factor of 3.0 like it will at the start of the Medicare stay?

Posted By: Jessie McGill, RN, RAC-MTA, RAC-MT
Post Date: 04/24/2019

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