Skilled Nursing News February 10, 2025
With overlooked reimbursement opportunities in the Payment-Driven Payment Model (PDPM) relatively common, nursing home operators can start to improve by focusing on some key areas where money is commonly left on the table.
Accurate documentation in the areas of speech, non-therapy ancillary services and nursing are top of the list for improving reimbursement through the model, according to experts who spoke on a recent webinar. Interim payment assessments, while optional, are another way to ensure appropriate reimbursement through PDPM.
Speech had the highest error by PDPM category at 38%, followed by non-therapy ancillary services at 31% and nursing at 27%, according to data collected by SimpleLTC for a webinar on PDPM opportunities. Error percentage dropped off steeply for PT and...
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