Pitfalls of the Patient-Driven Payment Model (PDPM) –Respiratory Failure
The Patient-Driven Payment Model (PDPM) is the reimbursement methodology for Medicare Part A that has been implemented for Skilled Nursing Facilities (SNFs) since October 1, 2019. The PDPM was designed to improve the accuracy of Medicare reimbursement to SNFs by basing the payment on the patient’s clinical characteristics and care needs rather than on the therapy minutes provided. PDPM has complexities that should be considered. To ensure accurate reimbursement, it is imperative to correctly code…
