A new person-centered reimbursement model is coming to SNFs, and you need to be on the ground floor for change.
The Patient Driven Payment Model (PDPM) is the new Medicare payment rule for skilled nursing facilities, replacing the current reimbursement system (called RUG-IV). PDPM represents a significant change and goes into effect on October 1st. While patients’ therapy minutes currently drive payment for SNFs, PDPM provides reimbursement based on the complexity of individual patients’ care needs as detailed in the primary and secondary diagnoses. Under this new system, HR takes on a heightened role in helping to ensure the organization’s success.