AHIMA April 1, 2020
The new patient-driven payment model is a radical departure from how SNFs were paid previously, and is why many owners and operators are starting to lean on health information management professionals for guidance.
It isn’t always easy to say goodbye, and for skilled nursing facilities (SNFs), parting with therapy minutes as the primary driver of payment has been easier for some facilities than others. Prior to October 1, 2019, SNFs received a per-diem payment rate along with additional reimbursement based on the number of therapy minutes and/or nursing services provided to each patient. However, under the new patient-driven payment model (PDPM), ICD-10-CM diagnosis codes take center stage, driving everything from admission to care planning to payment. This radical departure from...
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