This doc facilitates the willpower of Medicare reimbursement charges for expert nursing services beneath the Affected person Pushed Cost Mannequin (PDPM). It sometimes entails inputting affected person evaluation information 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 this sort of useful resource is crucial for guaranteeing acceptable and predictable reimbursement for expert nursing services. 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 transformation aimed to incentivize the supply of clinically acceptable care and decrease pointless remedy providers.
