Scrutiny About Behavior Changes Under PDPM Will ‘Inevitably’ Come to Skilled Nursing

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The changes in Medicare reimbursement taking effect in October will mean upheaval in more places than a skilled nursing facility’s billing department. It will mean changes in the nuts-and-bolts processes of patient care, and SNFs need to be preparing for this reality — with the knowledge that regulators will be watching closely.

That’s according to Cindi Raymond, who recently joined Plante Moran as a principal in the consulting and accounting firm’s health care strategy and operations practice. In this role, she focuses on process and operational improvement, preparedness for the Patient-Driven Payment Model (PDPM), and strategic business planning. Before her most recent job move, she served as vice president of clinical operations and chief nursing officer at Livonia, Mich.-based Trinity Health Senior Communities.

Skilled Nursing News spoke with Raymond to talk about the coming changes and what they mean for SNF providers — as well as how nursing homes need to adapt their care to survive.



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