The new Medicare payment model for post-acute care providers has largely gotten lost in the more pressing concerns of COVID-19, but as operators continue to struggle with increased costs related to the pandemic, some are still making mistakes that could cause them to lose out on money they earned. The … Read More
PDPM Boosts Medicare Rate 9% Early in COVID-19 Crisis: ‘RUGS-IV Would Have Been a Fiscal Disaster’
Skilled nursing facilities received a 9% Medicare reimbursement boost during the early days of the COVID-19 crisis under the new Patient-Driven Patient Model, a new analysis has determined — providing a crucial fiscal lifeline that may not have existed under the structure that PDPM replaced. “RUG-IV would have been a … Read More
The COVID Effect: A Comparative Analysis of April 2020 Medicare SNF Claims
The human mind is a poor processer of large numbers (“large” in this case is any figure with more than two digits). Accounting for fatalities from 1918’s influenza pandemic is, unfortunately, a logical place to begin a discussion about this evolutionary shortcoming. As curiosity naturally piqued interest about that strain’s … Read More
PDPM Reimbursement Analysis: November 2019 Claims for SNFs
PDPM REIMBURSEMENT ANALYSIS: November 2019 CORE Analytics is pleased to present our latest observations based on November 2019 Medicare Part A claim data. CORE’s client base has grown considerably in both size and diversity since we released our October analysis. Adding November claims from providers in new markets highlights differences … Read More
PDPM Reimbursement Analysis: October 2019 Claims for SNFs
PDPM REIMBURSEMENT ANALYSIS: October 2019 October findings were both fascinating and comparatively confounding relative to the RUG-system. Every Component array raised questions and displayed coding inconsistencies. The only fact that didn’t surprise us was that there were many surprises. One thing is clear; “Average Medicare Rate” is no longer an … Read More