Skilled Nursing News June 29, 2020
The Centers for Medicare & Medicaid Services (CMS) has been slow to make moves on audit demonstrations for the Patient-Driven Payment Model (PDPM), the Medicare reimbursement overhaul for skilled nursing facilities that took effect last year.
But that doesn’t mean that the agency has forgotten its promise to closely monitor patient outcomes and scrutinize SNFs’ behavior under the new system, according to Heather Guin, the senior director of claim integrity at the contract therapy company TMC.
“While CMS continues to monitor how the implementation of PDPM has impacted patient outcomes and program expenses, the agency just considers it premature to release any information related to these issues based on the amount...
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