Patient Driven Payment Model (PDPM) and Annual Payment Update (APU) Aids

To: Federally Certified Skilled Nursing Facilities Administrators, Directors of Nursing, MDS Coordinators, Billing and Coding Personnel, Licensed Nursing Facilities Administrators

From: The Education and Technical Assistance (ETA) Branch of the Health Facilities and Emergency Medical Services Division (HFEMSD)

CMS has provided new training and clarification material on the new Medicare reimbursement methods anticipated for October 1, 2019.
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/SNFPPS/PDPM.html

The Provider Preview Reports used to determine eligibility for the maximum Market Basket rate are changing. SNF QRP Provider Preview reports are automatically filed into your facility’s Casper Inbox. The next refresh with new measures on the report is slated for August 1, 2019.
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF-Quality-Reporting-Program-Measures-and-Technical-Information.html

Questions?: Please email betty.metz@state.co.us

https://www.colorado.gov/pacific/cdphe/mds-training-and-resources

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