Coming Soon to A SNF Near You… A New Medicare Part A Payment Model

The Centers for Medicare and Medicaid Services (CMS) will be changing the Skilled Nursing Facility (SNF) prospective payment system to the Patient-Drive Payment Model (PDPM) which goes into effect October 1, 2019.

See you later, RUGS!

Therapy minutes are a thing of the past. The new model is designed to address the needs of the patient, instead of focusing on the volume of services the patient receives. There will be no transition of payment models. Providers will bill under RUG-IV up until September 30, 2019 and PDPM will begin on October 1, 2019.

Are You Ready For PDPM?

Under PDPM, SNFs will need to accurately capture and document patient characteristics for reimbursement. The primary reason for the SNF stay will be a key criterion of reimbursement. SNFs must have the expertise and skill set to not only identify the primary reason for the SNF stay, but also document it for reimbursement purposes. At Blue Sky, we are outcomes and data experts! By partnering with Blue Sky, we will help you measure your outcomes, showcase your value to existing and future residents and maximize reimbursement rates to protect your bottom-line.

Our team at Blue Sky Therapy is ready to help you succeed through these PDPM changes.

Here is a sneak peek for our Roadmap to our PDPM strategies:

  • Data comparison of current RUGS Model to PDPM
  • Webinars on proper coding, Section GG and IDT coordination for best possible outcomes for patients and MDS’
  • Full day and half day seminars with the industry’s leading MDS and Accounting Consultants to further educate our partners and prospects to ensure seamless interdisciplinary team approach

You need systems in place that can guide data-driven decision-making to achieve the right levels of care and optimal outcomes for each patient.

Let us help you plot your course to success, contact us today! And, sign up to receive our newsletter and webinar opportunities.

We live and work toward patient total health and success every single day.

“The friendliness and compassion of each therapist has for every patient is remarkable. They are very knowledgeable about every aspect of therapy. They listened to my concerns and did an excellent job! Blue Sky really cares about their patients!”
“All the therapists are courteous and care for their patient’s well-being and progress.”
“I love those girls in therapy and I truly do not know what I would have done without them. They are my angels, each and every one of them. What a wonderful experience I had with them, we laughed and cried and hurt together, but it sure was worth it as I am going back home to live. I never thought I would ever live alone again and they made my dreams come true! I would and will recommend HCV with the therapy girls from BlueSky to everyone I come in contact with and I can really talk a lot. Thank you for giving me my life back!”
“I really appreciated the kindness and support of all the therapists for PT, OT and ST. Thank you for a wonderful first therapy experience!”
“I wouldn’t be going home today if it wasn’t for all the great therapy and care I received. The therapists were extremely helpful with providing me with information and techniques on ways of getting around once I was home.”
“I’ve had therapy before, but your therapists are the happiest people and actually make therapy FUN! Thank you for a great experience!”
“I will miss everyone that worked with me! Their expertise is exceptional! I recommend Blue Sky over anywhere else! Thank you for helping me get to have a normal life again!”
“I loved the way the therapists praised and encouraged my efforts to meet each new challenge!”
“The atmosphere in the therapy room was always relaxed, which made me very comfortable. It was a pleasure to work with all of the therapists!”
“Therapists were encouraging and supportive of my needs. They pushed me to keep me moving forward in my rehabilitation at a pace that was positive. Everyone was very upbeat!”


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