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Is Your Facility at Risk Under PDPM?

By RehabCare

Since the implementation of PDPM on October 1, there has been considerable confusion around what the payment model change means for Skilled Nursing Facilities (SNFs). On October 29, Glenda Mack, COO of RehabCare, wrote an editorial for McKnight’s breaking down many misconceptions and highlighting the critical importance of staying focused on the patient despite noise around the payment model change.

One of the biggest areas of confusion continues to be on the importance of therapy under PDPM. In the editorial, Glenda writes, “Despite the fact that therapies will not be a driver of reimbursement levels, as they were under the Resource Utilization Group (RUG) model, they will still be essential to drive quality care and patient outcomes. In fact, therapies have shown to have a huge impact on reducing lengths of stay and readmission rates, and improving functional outcomes and quality of life.”

Is Your Facility at Risk Under PDPM?

A knee-jerk reaction to the payment model change that reduces critical therapy could be harmful for patients. As highlighted in a recent article by Skilled Nursing News, CMS will be monitoring SNF outcomes under the new payment structure to ensure patients continue to receive the level of care needed to reach their recovery goals.

In order to be successful under PDPM, it is important to have a therapy provider who understands not only PDPM, but also the risks that a reduction in needed therapy may have for patients.

Over the past year, RehabCare has focused on preparing our clients for this monumental change. Through thoughtful planning, we have provided our clients with the training, strategic guidance and collaborative approach to achieve the high quality patient outcomes and efficient operations. All of our decisions have been based on what the patient needs to improve. For us, this focus on the patient does not change under PDPM.

To learn more about what’s changed and what hasn’t under PDPM, read our latest white paper.

Concerned your facility might be at risk under PDPM? Contact us today, 502.596.7640.

By RehabCare