As CMS Mulls Site-Neutral Payments, SNF Operators Can Ignore Home Health’s PDGM at Their Own Risk

Posted on Monday, February 3, 2020 2:22 PM

Three months ago, the Patient-Driven Payment Model (PDPM) began for skilled nursing facilities.  The PDPM makes the resident condition the primary driver of Medicare reimbursement whereas previously they were paid on the level of therapy provided.  As a result of this change, SNFs may not be paying enough attention to what is going on in home health with PDGM.

“That sort of blinders-on way of looking at the post-acute care continuum is dangerous, because the regulators and the payers are not looking at it that way,” Bill Goulding with Aegis Therapies told Skilled Nursing News. “They’re clearly moving towards a setting-agnostic payment system. And the patients don’t experience it that way either. It is part of the continuum.”

According to Aegis Therapies, if home health agencies should go under, SNFs may face some difficult occupancy numbers.

Click here for the full article.

About Corridor

Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!

For additional information, please contact Corridor at 1-866-263-3795.

Go Back

Explore Corridor’s Solutions

Share This Story, Choose Your Platform!