This presentation will address the Medicare payment changes in skilled nursing facilities effective 10/1/19. The current system focuses on the resources required to manage the care of the resident. The new system will utilize ICD-10-CM coding from the Principal Diagnosis to determine part of the payment case mix index as well as base the case mix on the resident’s clinical and social characteristics. The reason for the change will also be addressed. The participants will have an opportunity to walk through the case mix calculation to become more familiar with the complexities of the new system.
Mary Ann P. Leonard, RHIA, RAC-CT
2.0 CEU – External Forces