Patient-Driven Payment Model (PDPM)

Embrace the opportunity to reduce administrative burden while providing targeted, effective services that consider the distinct needs and goals of each resident.

Together we'll create opportunities

Get accurately reimbursed under PDPM by appropriately documenting the services your skilled nursing facility (SNF) provides. CLA can help by reviewing your facility’s reimbursement rates and assessing your minimum data set (MDS) and ICD-10 coding for compliance.

We’re committed to helping address what matters most to you:

  • Developing a holistic approach to PDPM
  • Making sure you’re accurately reimbursed under PDPM
  • Maintaining compliance with MDS assessment process changes
  • Changing therapy contracts and delivery of therapy in your facility
  • Determining if you have the appropriate clinical and business office resources to succeed under PDPM
  • Calculating your Medicare prospective payment system (PPS) rate under PDPM
Use CLA’s PDPM rate calculator to see your facility’s payment rates.

Experience our client-focused approach

CLA’s senior living professionals have experience working directly with MDS assessments, ICD-10 coding, therapy, and overall PDPM coordination in SNFs. By performing a post-implementation assessment in your facility, we can identify where you may be missing billing and coding reimbursement opportunities and highlight potential compliance risk areas. From there, we can train your clinical and coding staff to accurately capture and document the services provided to your facility’s residents. 

PDPM services for SNFs

Experience the CLA Promise