News
News related to "pdpm"
Choose an article below to learn more about this topic.
DHS Receives Report Endorsing Continuing RUGs Case Mix
On August 10, 2023 by Jeff Bostic
A report commissioned by the Minnesota Department of Human Services (DHS) recommends the ongoing use of RUGs case mix, despite upcoming changes to the Minimum Data Set (MDS) from the Centers for Medicaid and Medicare Services (CMS).
CMS Releases Final SNF PPS Rule that Updates SNF Rates and Quality Measures
On August 3, 2023 by Jeff Bostic
Earlier this week, the Centers for Medicare and Medicaid Services (CMS) published the annual final rule that updates the Prospective Payment System (PPS) rates for care centers. The rule calls for an update in the rates starting Oct. 1 that averages 4%.
MDH to Implement Optional State Assessment Starting October 1
On July 27, 2023 by Jeff Bostic
This morning, the Minnesota Department of Health (MDH) announced that as of Oct. 1, it will be implementing an Optional State Assessment (OSA) as part of the Minimum Data Set (MDS) assessment done by all care centers.
CMS Releases Final SNF PPS Rule; Includes Cuts Related to Impact of PDPM
On August 4, 2022 by Jeff Bostic
Late last week, the Centers for Medicare and Medicaid Services (CMS) published the annual final rule that updates the Prospective Payment System (PPS) rates for care centers.
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.