What Is PDPM?

The Centers for Medicare and Medicaid Services (CMS) will soon be replacing the Resource Utilization Group (RUG) Version IV payment model with the new Patient Driven Payment Model (PDPM).

The current RUG-IV system focused on payments based on how much therapy services were received. However, PDPM places patients into case-mix groups based on certain clinical characteristics.

This article from @SIAResearch does a fantastic job detailing out what this new model will look like and what Skilled Nursing Facilities (SNF’s) should expect.