As the 2026 fiscal year settles in, skilled nursing facilities are facing a pivotal moment in reimbursement accuracy: the CMS Final Rule has finalized significant updates to PDPM ICD-10 mappings and ...
The Patient-Driven Payment Model addresses perverse incentives in Medicare’s previous payment system for skilled nursing facilities, but it includes new incentives that may be problematic. The Patient ...
4 myths about therapy and why it still drives the ‘value bus’ under PDPM UPDATED: CMS proposes 2.4 percent Medicare pay hike, targets PDPM upcoding ...
In 1998, some facilities were not at all prepared for the change to the Prospective Payment System. Yet here we are again, facing another major payment restructure in the skilled nursing home ...