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CMS- Patient Driven Payment Model Effective October 01, 2019

Christine Woolstenhulme, QMC QCC CMCS CPC CMRS

According to CMS, In July 2018, CMS finalized a new case-mix classification model, the Patient-Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay.

Using the new Patient-Driven Care model should make physicians' lives easier using fewer ICD-10 codes and eventually see higher reimbursements for patients with more complex medical problems and co-morbidities.  

Click here for educational and training resources to assist stakeholders in preparing for PDPM implementation.