In less than nine short months the RUG-IV payment system will be replaced by the Patient-Driven Payment Model (PDPM).
- RUG-IV payment system ends on September 30, 2019.
- All Medicare Part A payments on or after October 1, 2019, will be processed on the new PDPM.
- ICD-10 CM coding will be a key element in payment classification.
- Five case-mix adjusted components will drive reimbursement.
- The 5-Day PPS Assessment will most likely be used for the entire stay to determine payment.
- All key players must be in line with PDPM outcomes, length of stay, efficiencies, compliance and risk sharing to be successful.
- Skilled Nursing News survey reported 33% of operators, investors, and vendors contacted viewed PDPM as fiscal year’s 2020 greatest challenge.
- On February 5, 2019, CMS released the draft of the new IPA MDS and MDS for version 1.17.0. The final version will be in effect on October 1, 2019. Click here for more details.
Our team has developed training and implementation programs to assist providers in not only to surviving but thriving during the transition and following years of PDPM.
Blue & Co.’s ICD-10 team has over 30 years in implementing correct processes and procedures in order to obtain full reimbursement for services rendered. Our unique training allows attendees to take theory and put it in practice. We can assist you in setting benchmarks in order to monitor your transition to PDPM.
Be sure to contact us to learn more about how you can have a successful transition to PDPM.
We can also assist in your organization’s compliance with clinical and financial systems review, MDS reviews, MDS education, survey readiness, QAPI or requirements of participation, and cost report preparation. Please contact us:
Nancy Hublar, RAC-CT (nhublar@blueandco.com or 502-992-3528)
Nicole Cameron, RHIA, CDIP, CCS (ncameron@blueandco.com or 317-713-7915)
Landon Hackett, CPA, MSA (lhackett@blueandco.com or 317-713-7929)
Jennifer Scott, RN, BSN, PLNC, CDP (jscott@blueandco.com or 502-992-2567
