The Centers for Medicare and Medicaid Services (CMS) overhauled the reimbursement system for skilled nursing facilities (SNFs) with the intent to improve payments by ensuring therapy services were focused on meeting the needs and preferences for beneficiaries, rather than the volume of services provided. The Patient-Driven Payment Model (PDPM) went into effect on 10/1/19. Because the payment model employs a new methodology for reimbursement, there are multiple concerns that some SNFs may inappropriately manipulate therapy services to increase profits, such as by mandating therapists to maximize the use of group and concurrent therapy regardless of the resident’s needs.
The doctoral program addresses PDPM from a regulatory oversight perspective. Surveyors will receive updated investigatory pathways and training regarding how to investigate therapy services to address the impact PDPM may be having on the provision of therapy, functional performance, and falls. Surveyors will have the knowledge and skills to ensure SNF beneficiaries across the nation receive quality, individualized rehabilitation services to satisfy the intent behind PDPM.
| Identifer | oai:union.ndltd.org:bu.edu/oai:open.bu.edu:2144/43011 |
| Date | 13 September 2021 |
| Creators | Kelly, Sayuri |
| Contributors | Stone, Lauren |
| Source Sets | Boston University |
| Language | en_US |
| Detected Language | English |
| Type | Thesis/Dissertation |
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