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Beginning October 1, 2019, SNFs will be paid for Medicare A services under the Patient Driven Payment Model (PDPM). The impetus for this came from several sources, including an Office of the Inspector General (OIG) analysis with input from the Medicare Payment Advisory Council (MEDPAC) targeting greater accuracy in payments based upon individual resident needs. PDPM is only a few short months away. The near-term and long-term implications on PAC facilities include, but are not limited to: • Steep PDPM learning curve • Accuracy in Minimum Data Set (MDS) following resident admission • Potential resources required in increasing skilled nursing capabilities
In partnership with Brubaker Consulting, our whitepaper addresses: • Changes to the payment model • Why the payment model is changing • The significance of this change • A look at where the industry has been • How to prepare for the changes ahead
The ongoing challenges of staffing, wages, and supplier price increases will continue putting further pressure on profits. Utilization management is more important than ever to protect against the implications and risks outlined above. It is important to act now.
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