AOTA Continuing to Work With CMS on PDPM Changes
From AOTA: Please share your PDPM experiences with us at firstname.lastname@example.org so AOTA may continue to monitor these issues. Include the name of your employer, your state, and the specific situation or policy being implemented as a result of PDPM. For updates, go to Skilled Nursing Facilities Patient Driven Payment Model Web page.
Beginning on October 1, 2019
, skilled nursing facilities (SNFs) will be faced with a new payment model that eliminates and replaces the current Resources Utilization Groups (RUG) for Medicare Part A beneficiaires. The new payment model will focus on patient characteristics and needs instead of the number of therapy minutes provided. Therapist will be encouraged to give the patient the amount of therapy that will help best help the patient instead of providing the number of minutes that coincides with a certain RUG level.
The Centers for Medicare & Medicaid (CMS) will continue to track the amount of therapy provided to each patient and therapist will need to demonstrate improvements in the following areas:
- Activities of Daily Living (ADLs)
- Instrumental Activities of Daily Living (IADLs)
- Behavioral & Psychosocial Skills
- Falls Prevention
- Functional Cognition
The Future is Now: How Occupational Therapy Can Thrive
Eight Ways to Prepare for the Skilled Nursing Facilities Patient Driven Payment Model (PDPM)
- has links to FREE CE Webinars
Visit www.aota.org/value for the latest updates!
Let us know at MOTAPractice@gmail.com if you have questions or concerns