CMS has posted the ICD-10 PDPM mappings for FY2021. This is a .zip file.
PDPM Provides $200/Day Medicare Boost to Nursing Homes During COVID: ‘It Arrived Just in Time’
When the overhaul of Medicare Part A reimbursement for nursing homes took effect in October 2019, predictions of audits and the potential for drastic changes came close on its heels. After all, the Patient-Driven Payment Model (PDPM) was meant to be revenue-neutral, meaning that the Centers for Medicare & Medicaid … Read More
Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) claims
MLN Matters Number: MM11992 was posted November 6, 2020 with same title as this blog. This MLN Matters Article is for Skilled Nursing Facilities (SNFs) and hospital swing bed providers billing Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries. This article informs you of an update to SNF Patient-Driven … Read More
Happy ThankSNFing! What SNFs can be thankful for
I remember verbatim a conversation from 2002 with a well-respected skilled nursing facility pioneer. “Marc, I’ve been in this business for 32 years, and this is going to be the toughest year yet… of course I’ve said that every January for 32 years!” I hope with all my heart he’ll … Read More
Nearly a Year into PDPM, Therapy Rates Stable — But Some Operators Fail to Capture Payments
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 … Read More