October 1, 2019 is officially here and over these last few weeks, SNFs and MDS Coordinators have been busy making final preparations to make this monumental transition to an entirely new payment model, PDPM. There is an enormous amount of work that needs to be completed by the SNF in order to successfully navigate all of the requirements that PDPM brings forth. Missing any of these critical elements can amount to lost revenue and negative payment implications. Follow the guide below and share with your interdisciplinary team in order to ensure a seamless transition to PDPM:
Tying up loose ends with RUG-IV
Just because it’s October 1st, it doesn’t mean we are completely in the clear yet. All Medicare A residents who resided in the SNF on or before September 30 are required to have a RUG-IV PPS assessment to cover all payment dates in September. Even residents who admit late in September need to have a 5-day ARD on or before 9/30/19. The assessment completion and submission requirements have not changed.