Skilled Nursing News October 29, 2019
Most Medicare Advantage (MA) plans that used the old Medicare system for calculating reimbursement for skilled nursing facilities are moving to the new system along with the federal government — at least if the early weeks of the Patient-Driven Payment Model (PDPM) are anything to go by.
That said, details on contracts and changes are scarce, making it imperative for SNFs to review the processes for payment before the next billing cycle, according to Erin Shvetzoff Hennessey, the CEO of the operating and consulting firm Health Dimensions Group.
“It seems like, from a high level, most MA plans that were using [the Resource Utilization Group system] are switching to PDPM,” she said on a recent webinar sponsored by Health Dimensions...
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