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SNF PDPM Guide.pdf

MM11152.pdf
Preview of SNF PDPM Guide
🔗 Source: cms.gov
📊 Size: 84 KB
👤 Author: CMS
⬇️ Downloads: 109

Summary

The Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) replaces the current case-mix classification system, with a new structure for the Health Insurance Prospective Payment System (HIPPS) code, consisting of five case-mix adjusted rate components. The PDPM affects SNFs billing Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries, with changes to the SNF Prospective Payment System (PPS) and new requirements for billing staff. Key changes include a revised HIPPS code structure, a new per diem adjustment schedule, an interrupted stay policy, and adjustments for AIDS/HIV patients. The PDPM was implemented on October 1, 2019, with a transition from the current SNF PPS, and additional information is available through the official instruction and MAC websites.

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Description

The Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) replaces the current case-mix classification system, with a new structure for the Health...

Technical Information

  • File Format: PDF
  • File Size: 84 KB
  • Pages: 4
  • Language: EN
  • Author: CMS
  • Total Downloads: 109
  • Last Updated: 2 months ago

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This PDF document about SNF PDPM Guide provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into SNF PDPM Guide.

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