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| As the long-term care industry faces changes on multiple fronts—including Prospective Payment System (PPS) reform associated with the Patient Driven Payment Model (PDPM)—we must also understand the foundational impact that Minimum Data Set (MDS) coding accuracy has on these areas. MDS impact on PDPM What is included in CMS’ goals for developing an alternative payment system?
- Creating a model that compensates SNFs accurately based on the complexity of their beneficiaries and the resources needed to care for them
- Addressing CMS’ concerns, along with those of OIG and MedPAC, about current incentives for SNFs to deliver therapy to beneficiaries based on financial considerations, rather than the most effective course of treatment
- Maintaining simplicity by, to the extent possible, limiting the number and type of elements used to determine case mix, as well as limiting the number of assessments necessary under the payment system
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| Want to read more about what your facility can be doing to ensure you understand PDPM? Subscribe to PPS Alert for Long-Term Care and read the full article. This monthly digital newsletter provides practical tips, how-to-guidance, vital tools, and top industry news that tackle tough topics such as the MDS 3.0, QAPI, therapy assessment and documentation, and infection control to help your facility remain compliant and quality-focused. |
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