Pitfalls of the Patient-Driven Payment Model (PDPM) – Focus on Diagnosis and Surgical Miscoding
Welcome back to our blog series on PDPM! You can find blog #1 here! 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. To ensure accurate…
