PDPM - The Patient Driven Payment Model

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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




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