Aug 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 …

Oct 30, 2024 · CMS provided guidance related to the use of a patient-driven payment model (PDPM) approach for required annual upper payment limit (UPL) demonstrations. Guidance requires use of …

As PDPM was developed, the rate components were specifically designed to account accurately and appropriately for the increased cost of AIDS - related care, as determined through research.

Jun 4, 2025 · The Patient Driven Payment Model (PDPM) significantly changed how skilled nursing facilities (SNFs) receive reimbursements from Medicare, shifting away from volume-based payments …

Aug 1, 2025 · Medicaid PDPM represents a new chapter in long-term care reimbursement – one that rewards clinical accuracy, team alignment, and proactive planning. Facilities that embrace this …

Learn what PDPM is, how to maintain compliance with the new regulation, and how to meet ROP competency requirements here!

Jun 24, 2025 · 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 …

Understanding the Myths and Realities of PDPM Since October 1, 2019, skilled nursing facilities (SNFs) have been paid under a payment system known as the Patient Driven Payment Model (PDPM).

What Is PDPM? PDPM stands for patient-driven payment model. The PDPM medicare model was created to reduce administrative burdens for health providers by focusing on each patient's unique …

3 days ago · In this 3-part blog series, we will focus on issues that were identified in the recent OIG audit of PDPM records and MDS. The first area relates to a lack of documentation to support technical …