PDPM got started on October 1, 2019. Before that, we had RUG scores. There’s a big difference between the two and by the time you finish this article in a few minutes you’ll have at least the basics down and you’ll know how much you should be getting paid!
Some claims are being held because of multiple line items for revenue code 0022. Why are facilities running into this issue?
The new Patient Driven Payment Model (PDPM) will shift the Medicare reimbursement structure to focus on complete patient needs, rather than therapy minutes.