Performing a thorough preadmission screening on each resident will help ensure that the facility can afford to meet that individual’s care needs under PDPM. Use this preadmission screening flowsheetcreated by HCPro’s regulatory specialist and boot camp instructor, Stefanie Corbett, DHA, as a checklist to improve your process.
Join us October 15–16, 2019, at the Renaissance Sea World Orlando for the 2019 Revenue Integrity Symposium (RIS). Register now to take advantage of our early bird pricing ($100 off). AMBR members save an additional $100.
Download the first issue of AMBR Journal! In this issue we discuss how to focus on new incentives under PDPM without scrapping therapy; how to get your compliance and ethics program into shape before November 1; ICD-10 training for your staff; a breakdown of consolidated billing, category I; and what billers can do to properly handle long-term care insurance policies.
Everything SNF providers knew under the RUG-IV casemix system is set to change when CMS’ new Patient-Driven Payment Model (PDPM) goes into effect on October 1, 2019. PDPM ushers in a new reimbursement paradigm that emphasizes treating the whole patient. The resident’s clinical complexity will drive payment. This is a massive shift away from the RUG-IV system, which reimbursed facilities based on the volume of resources provided (e.g., therapy minutes).
Q: When will the reimbursement rates begin decreasing?
A: After the 20th day of a resident’s stay, the PT/OT rate components will decrease by 2% every 7 days. The NTA rate component will be reduced after the third day of a resident’s stay by two-thirds of the initial NTA rate component amount.