Nearly a Year into PDPM, Therapy Rates Stable — But Some Operators Fail to Capture Payments

Ken BellCORE AnalyticsLeave a Comment

The new Medicare payment model for post-acute care providers has largely gotten lost in the more pressing concerns of COVID-19, but as operators continue to struggle with increased costs related to the pandemic, some are still making mistakes that could cause them to lose out on money they earned.

The differences between the top performers under the Patient-Driven Payment Model (PDPM) and the rest of the pack all come down to accurately capturing the services provided, a new analysis from Zimmet Healthcare Services Group and its data affiliate, CORE Analytics, has found.

The New Jersey-based consulting firm analyzed the top 10% of facilities by per-day Medicare reimbursement, and compared them against the average of all facilities in the country — excluding outliers such as rural providers, buildings with low patient volume, and facilities with a high percentage of ventilator days.

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