Patient Driven Payment Model
70th AHCA/NCAL Convention and Expo
The new Medicare skilled nursing facility prospective payment system (SNF PPS) patient-driven payment model (PDPM) is based on resident characteristics reported on SNF PPS minimum data set (MDS) assessments. One of the characteristics that has a more significant impact under PDPM than under the prior resource utilization groups (RUGs) payment model is the need for and delivery of restorative nursing services. This session will discuss the how the PDPM-related policy changes may motivate providers to consider enhancing their existing or implementing new restorative nursing programs for Medicare Part A residents.