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, ...
Such authority would require an act of Congress. There are several reasons why Congress should consider giving CMS the authority to retrospectively recoup the PDPM overpayment to SNFs. First, CMS’s ...
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 ...
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 ...
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CMS issues MDS 3.0 updates ahead of FY2026 rollout
The Centers for Medicare & Medicaid Services (CMS) has finalized updates to MDS 3.0 technical specifications, item sets, and the RAI User’s Manual for FY2026, effective October 1, 2025. These include ...
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 ...
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 ...
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 ...
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 ...
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 ...
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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