News

CMS Posts Final Rule on PDPM Implementation

On July 31, 2019 by Jeff Bostic

The Centers for Medicare and Medicaid Services (CMS) earlier this week released the final Skilled Nursing Facility (SNF) Payment Rule, which is the last step before implementation of the new Patient-Driven Payment Model (PDPM) that will take effect on Oct. 1. In addition to transitioning to the new case mix system, the Oct. 1 rates also include an inflation update of 2.4%. The rule makes few changes from the proposed rule that come out earlier this year, but it does finalize a definition of group therapy that allows up to six clients to be part of a treatment group as well as updating some requirements around ICD-10 coding that is a major driver of rates under PDPM.