Tag Archives: RUGS-IV

Patient-Driven Payment Model (PDPM) Update

Patient-Driven Care Under PDPM (via cms.gov)

In May 2018, a new value-based reimbursement proposal, Patient-Driven Payment Model (PDPM), was introduced by CMS. CMS believes PDPM is an improvement over the RUG-IV and Resident Classification System (RCS-1) models because it better accounts for resident comorbidities and patient-specific care needs while reducing the emphasis of therapy minutes. PDPM is also designed to decrease administrative complexities (paper work!) through an overhaul of required MDS schedules. PDPM is budget-neutral and classifies each resident into five categories (PT, OT, SLP, Non-Therapy Ancillaries, and Nursing) and provides a single payment based on the sum of these individual classifications. The new model is on … Continue reading