Skilled Nursing News August 19, 2024
As the Medicaid payment system transitions across states from RUGS to the Patient-Driven Payment Model (PDPM), nursing home operators must be wary of misconceptions – including that the transitions will always lead to additional Medicaid funds being available – while putting in place the right practices to ensure appropriate payments.
The complexities of Medicaid transitions among states, and the impact on case mix and payment rates, along with the need for proper documentation and communication to identify resident acuity in the new system, were among the topics addressed at the recent Zimmet Healthcare Annual Conference.
One note of caution for providers: As states switch to PDPM-based models for Medicaid, they are not all increasing the total dollars available to nursing...
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