This document facilitates the determination of Medicare reimbursement rates for skilled nursing facilities under the Patient Driven Payment Model (PDPM). It typically involves inputting patient assessment data related to physical therapy, occupational therapy, speech-language pathology, nursing, and non-therapy ancillary services. A completed example might show how different patient characteristics and service needs influence the final per diem rate.
Accurate completion of this type of resource is essential for ensuring appropriate and predictable reimbursement for skilled nursing facilities. The shift to the PDPM marked a move toward a more patient-centered payment system, focusing on individual care needs rather than therapy minutes. This change aimed to incentivize the delivery of clinically appropriate care and minimize unnecessary therapy services.
