SNF PPS: Patient Driven Payment Model
• Under RUG -IV, the number of PT, OT, and SLP therapy treatment minutes are combined for a total number of treatment minutes that is used to classify a given patient into a given therapy RUG • Under PDPM, patient characteristics will be used to …
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www.hfma.orgAs noted earlier, CMS replaced its previous case-mix classification methodology, the RUG-IV model, with the PDPM effective October 1, 2019. The PDPM model was designed to classify patients into payment groups based on patient characteristics, rather than the volume of therapy services provided to patients, as done in the RUG-IV model.
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