CMS has announced updates regarding the new Patient-Driven Payment Model for Skilled Nursing Providers.
“Skilled nursing providers will split an $851 million pay increase in FY 2020, following a final rule published by the Centers for Medicare & Medicaid Services issued late Tuesday.”
This may help rural facilities which are struggling according to a different story:
“The sole nursing home in a rural pocket of New Mexico has closed weeks after state efforts to transfer ownership fell short”
In addition, the final rule discussed above, lays out the new guidance on the components of PDPM, including two new quality reporting measures:
“It institutes an expected sub-regulatory process for classification of diseases and corresponding ICD-10 codes, such as when a prior code is split into two new codes. The new reporting procedures will mimic standards already used by inpatient rehabilitation facilities.
Also, the group therapy definition for skilled nursing, as expected, will soon follow the inpatient rehabilitation facility (IRF) norm and cover sessions with groups of two to six patients.
The rule also institutes two new quality reporting measures designed to improve interoperability, CMS said in a press release. Those require providers to document transfer of health information to the provider, post-acute-care, and to document the transfer of health information to the patient, post-acute care.”
The final rule can be found here.