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Medical Review Under PDPM

Medical Review Under PDPM

CMS issued their updated their guidance to Medicare Administrator Contractors (MACs) on November 15, 2019 regarding Medical Review Instructions related to Skilled Nursing Facilities in Publication 100-08 Medicare Program Integrity, Transmittal 924. The effective date...
The One Thing You Can Count on in Healthcare is CHANGE

The One Thing You Can Count on in Healthcare is CHANGE

In less than two short weeks the Post Acute Care world will see the biggest change in reimbursement in over 20 years. PDPM here we come.  How daunting is this, most of your employees have never practiced outside of the RUG world.  But remember, the healthcare...
What is Your PDPM Transition Strategy?

What is Your PDPM Transition Strategy?

Well my friends, it is time to seriously review your Patient-Driven Payment Model (PDPM) transition strategy.  October 1st  is just around the corner.  Over the past nine months, at Functional Pathways, we have had a robust educational campaign to prepare and position...
Final Rule FY 2020

Final Rule FY 2020

  The Centers for Medicare & Medicaid Services (CMS) publicly posted the pre-published fiscal year (FY) 2020 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule. The rule includes updates to the Medicare Part A unadjusted federal per-diem...