fbpx

< Back to Thought Leadership

Are you ready for the transition to PDPM?

In less than nine short months the RUG-IV payment system will be replaced by the Patient-Driven Payment Model (PDPM).

Did you know?
  • 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 our post-acute care team today.

If you’d like to learn more about our post-acute care services, click here.

Blue & Co., LLC Announces New Partnership With Vsimple | Vsimple and Blue and Co logo

Blue & Co., LLC Announces New Partnership With Vsimple

CARMEL, Ind. (May 5, 2022) – Blue & Co., LLC is excited to announce our new partnership with Vsimple, a workflow management software company based in New Albany, IN.  Blue & Co and Vsimple will be working closely together to address the workflow and process improvement challenges of manufacturers throughout the Midwest. “At Blue & […]

Learn More
Proposed Rule FY 2023 for Skilled Nursing Facilities

Proposed Rule FY 2023 for Skilled Nursing Facilities

It is that time of year again! The Center for Medicare and Medicaid Services (CMS) has issued the proposed rule that would update Medicare payment policies and rates for the fiscal year (FY) 2023’s Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Patient Driven Payment Model (PDPM) was implemented on October 1, 2019. This […]

Learn More
Coverage Scheduling Solutions for Physician Practices and Hospital Systems

Scheduling Solutions for Clinician Work-Life Balance

One of the most challenging conversations in any multi-physician practice or specialty-based hospital employed group is about how to create a fair distribution of on-call and/or inpatient hospital service coverage while balancing the duties of an outpatient practice. The COVID-19 pandemic has contributed to clinician burnout, and physicians and Advanced Practice Providers (APPs) place significant […]

Learn More