Harmony Healthcare Blog

ICYMI: PDPM Basics for MDS Coordinators

Posted by Joyce Sadewicz on Tue, Jul 23, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


There are six components that are involved in calculating the daily payment rate for each patient for the Patient Driven Payment Model.  These include: 

  1. Facility Base Rate which is the Non-Case Mix rate that will continue to be calculated by CMS as it is currently under the RUG-IV system. This base rate will be the same for all Medicare Part A patients and will not change over the course of the patient's stay.
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Topics: PDPM

PDPM: Admission Screening

Posted by Pam Duchene on Tue, Jul 09, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


At Harmony Healthcare International (HHI), we are fielding massive amounts of questions on how and if the new PDPM reimbursement system will change the patient profile in a nursing home.

Some inquiries include:

  • Does the advent of PDPM change the SNF admissions criterion for patient admission?
  • Are there characteristics that define the ideal referral for skilled care in the Patient Driven Payment Model (PDPM)?
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Topics: PDPM

PDPM: Top 3 Areas for Systems Implementation

Posted by Pam Duchene on Tue, Jul 02, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The Patient Driven Payment Model incorporates a multitude of changes into the current Medicare Part A SNF payment model.  Some of the criteria that require immediate application include:

  1. Interruptions in Stay;
  2. Interim Payment Assessments; and
  3. Administrative Level of Care Presumption.
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Topics: PDPM

PDPM Basics for MDS Coordinators

Posted by Joyce Sadewicz on Thu, Jun 27, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


There are six components that are involved in calculating the daily payment rate for each patient for the Patient Driven Payment Model.  These include: 

  1. Facility Base Rate which is the Non-Case Mix rate that will continue to be calculated by CMS as it is currently under the RUG-IV system. This base rate will be the same for all Medicare Part A patients and will not change over the course of the patient's stay.
Read More

Topics: PDPM

Patient Driven Payment Model: Bootcamp #1 Questions & Answer

Posted by The Harmony Team on Thu, Jun 20, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


Question and Answer with Joyce Sadewicz, VP of HarmonyHelp and Pam Duchene, VP of Education & Training Harmony Healthcare International (HHI)

  1. Please address the need for restorative nursing when PDPM is launched.

    See blog dated 6.4.19
    Restorative Nursing: Crucial for Patient Quality, Critical for PDPM
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Topics: Patient-Driven Payment Model, PDPM

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