HFMA Annual Conference 2019

Navigating the Move from RUGs to PDPM in Skilled Nursing Facility Payment (Room W312)

Effective Oct. 1, 2019, the Patient-Driven Payment Model (PDPM) will replace resource utilization groups (RUGs) and will drive changes in markets and operational practices for providers and vendors. This major change will create significant new opportunities and challenges for providers, including the ability to treat more medically complex patients, an increased emphasis on accurate coding, and imperatives to carefully manage lengths of stay and evaluate provision of therapy. In some markets and for many providers, the changes will be significant and require an assessment of facility operating systems and culture.

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