Patient Driven Payment Model (PDPM) Classification: October 2019
The per-diem payment under PDPM is determined by two primary factors, base rates that correspond to each of the six payment components and case-mix index (CMI) values that correspond to each classification group within the case-mix adjusted payment components. The payment for each of the case mix adjusted components is calculated by multiplying the component CMI for the resident's classification group by the component base rate, then by the specific day in the variable per diem adjustment schedule, when applicable. (CMS)
Use the helpful Excel spreadsheet linked below to determine your wage adjusted Federal Rate updated for the 10/1/2019 payment changes with the Patient Driven Payment Model. When using the spreadsheet please check the tab at the bottom left of your screen to select "urban" or "rural", then enter the appropriate wage index where indicated.
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