AMBR Journal, Issue 1, available for download

Apr 12, 2019
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The Bottom Line

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.

Surviving and thriving financially under PDPM

Apr 01, 2019
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AMBR Journal

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&A: Getting to know PDPM

Sep 28, 2018
 | 
Billing Alert for Long-Term Care

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.

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