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CMS Updates Posted on August 30, 2019

In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. Visit CMS’s website for a variety of educational and training resources to assist stakeholders in preparing for PDPM implementation, including resources on:

  • Administrative Level of Care Presumption under the PDPM
  • PDPM Payments for SNF Patients with HIV/AIDS
  • Concurrent and Group Therapy Limit (revision posted 8-30-19)
  • PDPM Functional and Cognitive Scoring (revision posted 8-30-19)
  • Interrupted Stay Policy (revision posted 8-30-19)
  • MDS Changes (revision posted 8-30-19)
  • NTA Comorbidity ScorePDPM Patient Classification (revision posted 8-30-19)
  • Variable Per Diem Adjustment

If you have questions or concerns, please contact us.

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