Skilled Nursing News May 11, 2022
Alex Zorn

It will be three years this October since the Patient-Driven Payment Model (PDPM) was first implemented, and some nursing homes are still struggling to adjust.

While a global pandemic and unprecedented staffing shortages are partly to blame for problems in PDPM-related processes, so too is widespread staff agency use. And now, with a potential $320 million Medicare cut proposed for 2023, skilled nursing facilities are under intense pressure to most efficiently, properly and fully capture PDPM reimbursement.

That’s according to Lorie Morris, SVP of Assessment Coordination for Prestige Healthcare, and Georgie Faulk-Sherwood, vice president of clinical reimbursement for Focused Post Acute Care Partners, who both think one way for the sector to better capitalize on reimbursement is by limiting agency...

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Topics: Insurance, Medicare, Post-Acute Care, Provider
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