In April 2018, the Centers for Medicare and Medicaid Services (CMS) threw yet another curveball at (MDS) coordinators and skilled nursing facilities (SNFs) across the country. CMS’ original plan to introduce RCS-1 (resident classification system, the proposed new federal payment system) was overturned and replaced by the now proposed patient driven payment model (PDPM). This new payment model does have similarities to the previous RCS-1, but there were improvements made to increase payment accuracy.
It’s important to be aware of PDPM and understand its significance to your long-term post-acute care organization. Below are the top 10 things you need to know about PDPM:
Factoring all of the changes together, I truly believe this could be a positive change for our industry. While we will get paid less for therapy-intensive residents, we will get paid substantially more for clinically complex residents. This payment shift will cause us to provide therapy services based on resident need and not reimbursement. MDS coordinators will also have fewer assessments to complete and more time to focus on care planning and the development of patient-centric care. This can only lead to an increase in patient satisfaction and positive outcomes.
Contact Richter Healthcare Consultants:
Do you have questions about PDPM, or other clinical challenges? Call Richter's clinical education consultants at 866-806-0799 or schedule a free consultation.
Jennifer Leatherbarrow RN, BSN, RAC-CT-QCP, CIC is the Senior Clinical Consultant at Richter Healthcare Consultants. She is a passionate writer and a speaker at both state and national levels. Jennifer has been working in post-acute care for over 20 years. She is an avid proponent of education and providing those on the front lines of healthcare the tools they need to succeed.
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