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Disruptive changes bring compliance opportunities

Nancy J. Beckley (nancy@nancybeckley.com) is President of Nancy Beckley & Associates LLC, a rehab compliance consulting firm in Milwaukee, WI.

The last “Connectivity “column written by Nancy was published in the December 2019 issue of Compliance Today. Nancy is the author of our new column “Notes on post-acute care compliance,” published every other month beginning in this issue of Compliance Today.

The new year brings, hopefully, a calm to the disruptive changes affecting reimbursement for care in skilled nursing facilities (SNFs). The Centers for Medicare & Medicaid Services (CMS), as part of its well-publicized movement from volume to value-based care, implemented the Patient-Driven Payment Model (PDPM) on October 1, 2019. Under this payment system, the volume or “minutes” of therapy under the Resource Utilization Groups (RUGs) no longer drives reimbursement. In short, therapy is no longer “king.”

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