Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) - Updated Webpages

Noridian has been working diligently at updating the content on the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) webpages to better serve providers. With this effort, it is the intent that providers can locate the information that is desired with ease.

Overview:

Issues with the current case-mix model, the Resource Utilization Groups, Version IV (RUG-IV) have been identified by CMS, the Office of Inspector General, the Medicare Payment Advisory Commission, the media, and others.

Therapy payments under the SNF Prospective Payment System (PPS) are based primarily on the amount of therapy provided to a patient, regardless of the patient's unique characteristics, needs, or goals.

The Patient Driven Payment Model (PDPM), effective October 1, 2019, will improve payments made under the SNF PPS in the following ways:

  • Improves payment accuracy and appropriateness by focusing on the patient, rather than the volume of services provided
  • Significantly reduces administrative burden on providers
  • Improves SNF payments to currently underserved beneficiaries without increasing total Medicare payments

For additional information regarding SNF PDPM visit the Noridian Skilled Nursing Facility webpage.

Last Updated Sep 05, 2019