PDPM - The Patient Driven Payment Model Advion 2023 Issue Briefs: Impact of COVID-19 & Telehealth Flexibilities During the PHE Support Log-Term & Common Sense Reform to the Medicare Physician Fee Schedule (PFS) for CY 2024 Including LTPAC in Health IT Incentives is Essential to Efficient, Effective Healthcare The Patient Driven Payment Model (PDPM) is the new reimbursement system model that Medicare will use to determine payments for SNFs starting on October 1, 2019. PDPM replaces the current Resources Utilization Groups (RUGs) model. PDPM fits into a broader push by CMS toward “patient-centered” reimbursement models that match payment rates to the patients’ needs. PDPM Resources: CMS’ Patient Driven Payment Model webpage, containing CMS’ latest documents on PDPM: Fact Sheets, FAQs, Training Presentation, Beta version of the Grouper, and ICD-10 Mappings. PDPM – What is Changing and What is Not? Presentation by John Kane of CMS to NASL 2019 Winter Conference ADVION Issue & Advocacy Center Home
