This doc facilitates the dedication of Medicare reimbursement charges for expert nursing amenities underneath the Affected person Pushed Fee Mannequin (PDPM). It usually includes inputting affected person evaluation knowledge associated to bodily remedy, occupational remedy, speech-language pathology, nursing, and non-therapy ancillary providers. A accomplished instance would possibly present how completely different affected person traits and repair wants affect the ultimate per diem charge.
Correct completion of such a useful resource is important for guaranteeing applicable and predictable reimbursement for expert nursing amenities. The shift to the PDPM marked a transfer towards a extra patient-centered cost system, specializing in particular person care wants slightly than remedy minutes. This modification aimed to incentivize the supply of clinically applicable care and decrease pointless remedy providers.