To Get Ahead of PDPM Audits, Skilled Nursing Facilities Target Top Areas of Payment Focus

Ken BellSkilled NursingLeave a Comment

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 Services (CMS) would not spend more money under the new system than under the Resource Utilization Group-Version 4 (RUG-IV) system that was replaced in 2019.

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