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October 1, 2019
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October 1, 2019

Under PDPM, SNFs will need to accurately capture and document patient characteristics, in order to receive optimal reimbursement for the services they provide. Effectively assessing the primary reason for the SNF while still taking into account whether or not surgeries were provided during the hospital stay, appropriately assigning Non-Therapy Ancillaries (NTAs,) and adequately measuring functional performance upon admission and discharge, are all important strategies to master with this new payment system. It is imperative that Skilled Nursing Facilities must have competent Nursing, MDS, Billing, and Therapy staff who embody the expertise and skill set to not only identify all potential avenues that can lead to proper resident classification, but also meticulously document findings for reimbursement and auditing purposes.

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