PDPM & MDS: A Total Evolution of the SNF Payment Model
What Every SNF Needs to Know About MDS Accuracy, PDPM Strategy, and Staying Audit-Ready.
PDPM Isn’t Just a Payment Model — It’s a Documentation Model.
When CMS introduced the Patient Driven Payment Model (PDPM), it wasn’t just about changing reimbursement — it was about changing behavior.
Success under PDPM comes down to one thing: how well your team captures resident characteristics on the MDS.
This white paper breaks down the essential role of MDS accuracy in PDPM reimbursement, outlines the critical changes from RUG-IV, and explains the systems every SNF should have in place to stay compliant and financially healthy.
In this white paper, you’ll learn:
The biggest shifts from RUG-IV to PDPM — and why old habits can cost you
How PDPM uses resident characteristics (not service minutes) to drive reimbursement
Best practices for accurate MDS coding under PDPM
Why Section GG and ICD-10 coding are the foundation of your reimbursement
What to know about Interim Payment Assessments (IPAs) — and how to avoid missing them
Whether you’re onboarding new staff or re-training an experienced team, this white paper is a must-read for MDS Coordinators, Administrators, and Operators.
Wondering if your MDS practices are PDPM-ready?
Let’s talk about how Gravity Consulting can help.