Skilled Nursing News September 16, 2021
Amy Stulick

The Centers for Medicare and Medicaid Services (CMS) has made headway separating metrics changes in the past year-and-a-half, tying some to the pandemic and others to implementation of the Patient-Driven Payment Model (PDPM).

John Kane, technical advisor and SNF payment team lead for CMS, helped the skilled nursing industry better understand the impacts of PDPM during a presentation at the SimpleLTC 2021 Virtual Symposium Wednesday.

Therapy minutes, depression coding, stays with infection isolation and long-term care nursing home stays were the four major metrics Kane discussed during the presentation, attributing the first two to PDPM implementation and the last two to the pandemic.

A swap in the number of dual-eligible residents, those covered by both Medicare and Medicaid, and non-duals,...

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