Aug 30, 2019 · 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 …

Jun 4, 2025 · The Patient Driven Payment Model (PDPM) significantly changed how skilled nursing facilities (SNFs) receive reimbursements from Medicare, shifting away from volume-based payments …

As PDPM was developed, the rate components were specifically designed to account accurately and appropriately for the increased cost of AIDS - related care, as determined through research.

PDPM Consists of 5 major components: Physical Therapy, Occupational Therapy, Speech-Language Pathology, Non-therapy Ancillary assessment, and Nursing Care.

Aug 1, 2025 · Medicaid PDPM represents a new chapter in long-term care reimbursement – one that rewards clinical accuracy, team alignment, and proactive planning. Facilities that embrace this …

Learn what PDPM is, how to maintain compliance with the new regulation, and how to meet ROP competency requirements here!

Oct 30, 2024 · CMS provided guidance related to the use of a patient-driven payment model (PDPM) approach for required annual upper payment limit (UPL) demonstrations. Guidance requires use of …

PDPM classifies patients into a separate group for each of the case-mix adjusted components, each of which have their own associated case-mix indexes and base rates.

Jun 24, 2025 · 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 …

The new PDPM Cognitive Score is based on the Cognitive Function Scale (CFS), which combines scores from the BIMS and CPS into one scale that can be used to compare cognitive function across …