What is PDPM?

PDPM stands for Patient-Driven Payment Model. It's a case-mix reimbursement system used by Medicare for skilled nursing facilities (SNFs). PDPM classifies patients into payment groups based on their individual characteristics and needs, rather than primarily on the volume of therapy services provided. This model aims to provide more accurate and appropriate payments to SNFs by focusing on the patient's unique needs and goals, rather than a 'one size fits all' therapy minutes approach. It considers factors like clinical category, functional status, cognitive abilities, and presence of comorbidities to determine payment.