Patient-Driven Payment Model

Posted by LTCS on December 31, 2019

PPDM, the Patient-Driven Payment Model began October 1, 2019. CMS reported the new case-mix classification system uses certain clinical factors rather than volume based services to determine Medicare reimbursement. Classification is based on the resident’s primary diagnosis, therapy components, and functional status to assign one of 16 case mix groups. The link below provides detailed information, crosswalk tables, and learning materials.

CMS Patient Driven Payment Model Information Page