CMS Releases Corrected PDPM Grouper Package

Posted on October 8, 2019 by Sue Boyd

The Centers for Medicare & Medicaid Services (CMS) has posted a corrected version of the latest PDPM DLL Package (V1.0003 FINAL), which includes identified grouper discrepancies and updated test files and documentation.  

Providers should continue to follow the Resident Assessment Instrument (RAI) requirements that include, but are not limited to, establishing assessment reference dates for OBRA or PPS assessments that are required/scheduled, including the PDPM Transitional Interim Payment Assessments, assessing residents, and coding the applicable MDS assessments.

Providers are still required to complete assessments within 14 days and record them in Z0500. Late submission payment penalties don’t apply under the Skilled Nursing Facility PPS.

CMS said it will work with providers to ensure that timely payments are made. Questions can be sent to MDSTechIssues@cms.hhs.gov.