CMS finalized a new case-mix classification model
The Patient Driven Payment Model (PDPM) was implemented for Skilled Nursing Facilities effective October 1, 2019. This new model was major shift in the previous system of reimbursement presented by Medicare Part A.
PDPM Frequently Asked Questions
This section contains frequently asked questions (FAQs) related to PDPM policy and implementation.
PDPM Resources
This section includes additional resources relevant to PDPM implementation, including various coding crosswalks and classification logic.
- PDPM Classification Walkthrough updated 2023
- PDPM GROUPER Logic (SAS) updated 2023
- PDPM ICD-10 Mappings updated 2023