Cheat Sheet: SNF Assessments in RUG-IV versus PDPM

Here is a comparison of the required assessments under RUG-IV, the prospective payment system for skilled nursing facilities (SNFs), and the patient driven payment model (PDPM), which replaces it on Oct. 1. “It’s kind of a good news story. There are far fewer required assessments” under PDPM, but the compliance risk flips (“As New SNF Payment System Takes Effect, CMS Will Monitor Changes in Therapy, Coding,” RMC 28, no. 33), says Regina Alexander, senior consultant of VantagePoint HealthCare Advisors in Hampden, Connecticut. Contact her at ralexander@vantagepointconsult.com.

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