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The New Medicare Payment System PDPM VRS The Current Medicare Payment System PPS RUG IV These are statements regarding the new PDPM system that originate from CMS, (Government regulator of Medicare) and provided by Sunlight Consulting. In this article we will critique the regulations and statements of CMS regarding PDPM. I will be adding comments as to the validity of the statements and claims made by CMS and Sunlight Consulting. • Regarding PDPM projected impact statement. (CMS STATEMENT): PDPM is Budget neutral. (False). PDPM is (NOT) budget neutral and was never intended to be. We will explain throughout this article. • Regarding the new PDPM payment system, concerning skilled nursing facilities rehab centers. (CMS STATEMENT) Note: therapy minutes and days therapy is delivered are not used for Reimbursement. (True) Therefore therapy needs, such as patient treatment minutes, patient treatment days, extended times of therapy sessions regarding PT / OT will not be factored into

Regarding The New Medicare Payment System PDPM VRS The Current Medicare Payment system PPS RUG IV

Your Medicare Reimbursement and PDPM These are statements regarding the new PDPM system that originate from CMS, (Government regulator of Medicare) and provided by Sunlight Consulting. In this article we will critique the regulations and statements of CMS regarding PDPM. I will be adding comments as to the validity of the statements and claims made by CMS and Sunlight Consulting. • Regarding PDPM projected impact statement. (CMS STATEMENT): PDPM is Budget neutral. (False). PDPM is (NOT) budget neutral and was never intended to be. We will explain throughout this article. • Regarding the new PDPM payment system, concerning skilled nursing facilities rehab centers. (CMS STATEMENT) Note: therapy minutes and days therapy is delivered are not used for Reimbursement. (True) Therefore therapy needs, such as patient treatment minutes, patient treatment days, extended times of therapy sessions regarding PT / OT will not be factored into facility reimbursement. Furthermore, the amount of