Compliance Corner—How PDPM Risks and Opportunities Impact SNF Compliance Programs
- July 01, 2020
- Amy Dalton , PYA, P.C.
Last October, the Centers for Medicare & Medicaid Services (CMS) replaced its Resource Utilization Group, Version IV (RUG-IV) payment model with the Patient-Driven Payment Model (PDPM).1 The new payment model has transformed Medicare Part A Skilled Nursing Facility (SNF) stays from a therapy-driven model to one that places more emphasis on nursing services, differentiated payments for medically complex patients, and increased focus on appropriate length of stay.
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