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Scrutiny about behavior changes under PDPM will ‘inevitably’ come to skilled nursing

April 29, 2019 In The News 6 min read
Medicare’s new Patient-Driven Payment Model (PDPM) will require skilled nursing facilities to make changes far beyond the billing office. Cindi Raymond talks strategic changes needed with Skilled Nursing News.

Person at computer reviewing their accounts receivable Cindi Raymond, a principal in Plante Moran’s healthcare strategy and operations practice, recently talked with Skilled Nursing News about the changes to Medicare reimbursement that will go into effect on October 1. The main change? A shift from therapy driving the care plan to clinicians or nurses driving the care plan through pathways based on diagnosis. According to Cindi, “The characteristics of the persons coming into our doors may not change a lot, but the care provision and what drives the process does change.”

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