As the 2026 fiscal year settles in, skilled nursing facilities are facing a pivotal moment in reimbursement accuracy: the CMS Final Rule has finalized significant updates to PDPM ICD-10 mappings and ...
The transition to FY2026 PDPM grouper updates and the mandatory adoption of new ICD-10 codes has tightened the scrutiny on MDS data integrity in long-term care. For facilities using PointClickCare, ...
On August 4, 2025, CMS issued a final rule (Final Rule) updating payment rates, policies, and quality programs for Skilled Nursing Facilities (SNFs) under the Medicare Prospective Payment System (SNF ...
After much hype, trepidation and, for some providers, feverish planning, the Patient Driven Payment Model (PDPM) took effect in October. There has been much speculation about how the new system, ...
On July 31, 2023, CMS issued its final rule updating the rates and Medicare payment policies under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for FY 2024 (the Final Rule). The ...
CMS contracted with Acumen, LLC for SNF reform and Abt Associates for HHA reform. The goal in both cases was to develop an alternative case-mix adjustment methodology, in which Medicare payments would ...
The Centers for Medicare and Medicaid Services has issued a final rule updating Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective ...
My youngest child is learning to read. With a touch of creativity, that is. She walked in last week beaming with pride, a stack of photocopied little books in hand, and exclaimed, “I can read!” Really ...
Skilled nursing facilities get a 4.1% payment increase for 2025, according to a proposed rule released by the Centers for Medicare and Medicaid Services under the Skilled Nursing Facility Prospective ...
Medicare’s Patient Driven Payment Model (PDPM) significantly altered the way skilled nursing facilities (SNFs) are paid, removing the financial incentive to maximize the volume of therapy services ...
More than a year and a half after implementing the Patient-Driven Payment Model (PDPM), how is your skilled nursing facility doing – operationally and financially? Chances are, you may still not know.
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