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New SNF Medicare Rates Take Effect on Thursday

On September 30, 2020 by Jeff Bostic

Based on the annual SNF Payment Rule which CMS released earlier this summer, new SNF Medicare rates for the second year of the Patient-Driven Payment Model (PDPM) take effect on October 1. 

State to Add PDPM Items to the MDS

On September 16, 2020 by Jeff Bostic

Last week MDH announced that Minnesota has asked CMS to calculate the PDPM classifications on the OBRA assessments that are not used for Medicare payment.

CMS Posts Final Rule on Updated SNF Medicare Rates

On August 5, 2020 by Jeff Bostic

The Centers for Medicare & Medicaid Services (CMS) released the final version of the annual Skilled Nursing Facility (SNF) Payment Rule that updates rates for the second year of the Patient-Driven Payment Model (PDPM) which starts on Oct. 1. The Oct. 1 rates include an inflation update of 2.2% based on a formula in existing law.  

Medicare Proposed Rule Provides Inflation Adjustment of 2.3%

On April 14, 2020 by Jeff Bostic

The Centers for Medicare & Medicaid Services (CMS) last week issued a Proposed Rule that provides updates about the Skilled Nursing Facility (SNF) PPS rates that will take effect Oct. 1, 2020. CMS will follow up with a final rule on the Oct. 1 rates around Aug. 1.  

The Real Truth of PDPM: HDG Provides Early Learnings for Senior Leadership

On February 25, 2020 by Jodi Boyne

It’s been five months since the Patient-Driven Payment Model (PDPM) went live. What have we learned since then? Let’s check in with Health Dimensions Group, who recently shared some early learnings at our Institute & Expo and recapped their presentation in a new blog post “The Real Truth of PDPM.” 

CMS Releases Results of Second Year of Value-Based Purchasing

On January 7, 2020 by Jeff Bostic

The Center for Medicare & Medicaid Services (CMS) released the results of the second year of implementation of Value-Based Purchasing (VBP) for skilled nursing settings. The results are a mixed review for Minnesota care centers.   

CMS Releases Corrected PDPM Grouper Package

On October 8, 2019 by Sue Boyd

The Centers for Medicare & Medicaid Services (CMS) has posted a corrected version of the latest PDPM DLL Package (V1.0003 FINAL), which includes identified grouper discrepancies and updated test files and documentation.  

From RUGs to PDPM: The Importance of the Transitional IPA

On October 1, 2019 by Sue Boyd

It is important that care centers remember that a mandatory Interim Payment Assessment (IPA) is required to transition from Resource Utilization Group, version IV (RUG-IV) to the Patient Driven Payment Model (PDPM) as of Oct. 1.    

Now Available: Final MDS 3.0 RAI Manual (v1.17.1)

On September 24, 2019 by Sue Boyd

Good news for providers and stakeholders who are finalizing their transition to the Patient-Driven Payment Model (PDPM) that goes into effect Oct. 1: The Centers for Medicare & Medicaid Services (CMS) has released the final version of the MDS 3.0 RAI Manual (version 1.17.1).  

5 Key Steps to PDPM Implementation - Now Less Than 2 Weeks Away

On September 17, 2019 by Jeff Bostic

We are now less than two weeks from implementation of the new Patient-Driven Payment Model (PDPM) that will take effect for Medicare Part A skilled nursing facility clients on Oct. 1. LeadingAge MN has developed a number of key resources to help members with this transition. Below are five key steps for members to be sure they have taken before the new payment system goes into effect:  

MDS Expert at Your Fingertips

On September 16, 2019 by Jodi Boyne

Are you up to speed on the MDS? One of the benefits of being a member of LeadingAge National is access to Judy Wilhilde Brandt, our MDS-expert consultant.  

PDPM Reminder: Rate Calculator & Case Mix Tools

On September 11, 2019 by Jeff Bostic

PDPM. It's just a few weeks away. Are you ready? Don't forgot to check out our Rate Calculator and Case Mix tool. We've also updated our PDPM resource library with a webinar that will help you make sure you are ready to go on Oct. 1. 

PDPM: What Exactly Are NTAs and Why Are They So Important?

On September 10, 2019 by Sue Boyd

NTAs. You’re hearing a lot about them as part of the new Payment-Drive Payment Model that goes into effect Oct. 1. What are NTAs? Non-therapy ancillaries (NTAs) are a long list of diagnostic categories and clinical support services needed to care for residents in a skilled nursing facility that may be more medically complex or demonstrate a higher acuity. Under PDPM, 50 conditions and extensive services are considered for NTA classification.  

PDPM Implementation Moves Closer, New Tools Available

On September 3, 2019 by Jeff Bostic

We are now less than one month from implementation of the new Patient-Driven Payment Model (PDPM) that will take effect on Oct. 1.  LeadingAge MN has worked with other state affiliates and our national association to develop some new tools, including a rate calculator and case mix system, that are posted on our PDPM web page.  

Checking In on PDPM: Checklists, Milestones and Outcomes

On August 6, 2019 by Jeff Bostic

It’s happening in less than 60 days. The new Patient Driven Payment Model (PDPM) goes into effect on Oct. 1. Are you prepared for this major change in how you document and are reimbursed for care?  

CMS Posts Final Rule on PDPM Implementation

On July 31, 2019 by Jeff Bostic

The Centers for Medicare and Medicaid Services (CMS) earlier this week released the final Skilled Nursing Facility (SNF) Payment Rule, which is the last step before implementation of the new Patient-Driven Payment Model (PDPM) that will take effect on Oct. 1. In addition to transitioning to the new case mix system, the Oct. 1 rates also include an inflation update of 2.4%. The rule makes few changes from the proposed rule that come out earlier this year, but it does finalize a definition of group therapy that allows up to six clients to be part of a treatment group as well as updating some requirements around ICD-10 coding that is a major driver of rates under PDPM.  

Space Available for Interdisciplinary PDPM Workshops July 24 and 25

On July 10, 2019 by Heidi Simpson

Is your organization ready for the Oct.1 implementation of Patient-Driven Payment Model (PDPM), the new Medicare Part A payment classification system? Take advantage of these upcoming education and training opportuniteis:

SNF Quality Reporting Program Train-the-Trainer Event – Registration Open

On July 10, 2019 by Julie Apold

Registration is open for a two-day Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Train-the-Trainer event for providers on Aug.13 and 14. The training, which is primarily intended for those responsible for training staff at care centers, includes:   

Training Opportunities for Oct. 1 PDPM Implementation

On July 2, 2019 by Heidi Simpson

Look to LeadingAge Minnesota for your training needs to prepare for the Oct.1 implementation of Patient-Driven Payment Model (PDPM), the new Medicare Part A payment classification system. Don’t miss these opportunities:  

2 New Webinars in Our Countdown to Oct. 1 PDPM Implementation

On June 23, 2019 by Heidi Simpson

We have scheduled two new webinars in our countdown to Oct. 1 PDPM Implementation: Common MDS Coding and Scheduling Errors and Diagnosis Coding for Payment in PDPM. And don’t forget to register for one of four workshops specifically focused on a Team Approach to Operationalizing PDPM.  

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