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  • Writer's pictureDr. Fred Fridman D.O.

Enhancing the Patient Driven Payment Model

Through our expert analysis and documentation we can increase your facilities reimbursement by tens of thousands of dollars per year. Contact us to learn more

Doctor at a facility partner enhancing their Patient Driven Payment Model

The Patient Driven Payment Model (PDPM) is revolutionizing how skilled nursing facilities (SNFs) receive Medicare reimbursement. Rehabilitation Associates is at the forefront of this change, propelling SNF's PDPM success. Here's how we maximize your PDPM reimbursement, enhance patient outcomes, and do so at no added expense to your center.


​How We Achieve PDPM Success

Our approach is a careful blend of precision, expertise, collaboration, and the use of cutting-edge technology.

  1. Proper Documentation of Functional Statuses: Upon admission and during the initial first 5 days of rehab, our physiatrists meticulously document functional statuses, ensuring accurate patient placement in the correct tier.

  2. Maximizing NTA Scores: Our experts comb the chart to extract every detail that contributes to maximizing Non-Therapy Ancillary (NTA) scores, positioning the patient appropriately within the PDPM structure.

  3. Boosting Your Reimbursement: Leveraging our refined program and EHR, our physiatrists capture patient complexity accurately and document it effectively using PDPM mapped coding. An internal study has shown that skilled nursing facilities collaborating with us have seen an average monthly increase in reimbursement of approximately $38,000 per facility.

  4. Enhancing Communication and Documentation: We help to eliminate the risk of missed or delayed reimbursements, reduce unplanned discharges, and advocate for appropriate lengths of stays to optimize your SNF operations. Our providers, equipped with expertise in PDPM coding, are adept at gathering essential information for accurate patient classification.

  5. Providing Tailored Care: Specializing in rehabilitation, our physiatrists deliver patient-focused care to manage and alleviate physical, painful, or functionally limiting conditions. The core objectives are to optimize patient independence and enhance mobility.

  6. Transforming Your SNF into a Profitable and Reputable Center: Our goal extends beyond merely improving your center's quality outcomes and revenue streams. We strive to make your SNF a highly-regarded center, outshining facilities that lack comprehensive physiatry programs.

The Benefits of Partnering with Rehabilitation Associates Choosing to work with Rehabilitation Associates ensures:

  • Enhanced Financial Sustainability: Our precision in capturing patient complexity supports your facility's financial health.

  • Improved Patient Outcomes: Through tailored care plans, we amplify patients' functional potential.

  • Bolstered Collaboration: Our integration into your team fosters cooperation and communication among physicians.

Contact Our Team for More Insight

The potential benefits of PDPM are abundant when understood and maximized correctly. Our commitment is to enhance your patient care and outcomes while cooperating with MDS coordinators to design, implement, and document apt care plans.


Reach out to us today to learn more about how Rehabilitation Associates can support your facility in navigating and thriving in the PDPM landscape.

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Click here to send us an email to learn more.

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