Changes to a key component of the Patient Driven Payment Model remain in limbo two years after they were first proposed, but federal regulators are still poised to refine the system to accommodate for ...

A nursing home found to have erred in 99 of 100 reimbursement submissions during the pandemic is fighting back against those ...

The patient-driven payment model (PDPM) has revolutionized health care for providers and their patients. These systems heighten treatment accuracy and ensure clients receive accurate billing for their ...

In a recent press release, Real Time Medical Systems (Real Time), a leading healthcare interventional analytics software company for skilled nursing facilities (SNFs), post-acute care providers, ...

On April 11, 2025, CMS proposed a rule that would update policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for FY 2026 (Proposed Rule). The ...

With the new Patient-Driven Payment Model (PDPM) approaching quickly, it’s critical that senior care providers look forward and craft a sustainable plan to be implemented between now and October. PDPM ...

More than a year and a half after implementing the Patient-Driven Payment Model (PDPM), how is your skilled nursing facility doing – operationally and financially? Chances are, you may still not know.

On October 1, 2019, CMS implemented a new case-mix classification model called the Patient Driven Payment Model (PDPM). PDPM replaced the prior case-mix classification model, the Resource Utilization ...

CMS contracted with Acumen, LLC for SNF reform and Abt Associates for HHA reform. The goal in both cases was to develop an alternative case-mix adjustment methodology, in which Medicare payments would ...

In what the Centers for Medicare & Medicaid Services (CMS) today described as a “parity adjustment recalibration,” the agency said it will increase payments to skilled nursing facilities by 4%, or ...