
04/08/2019
Under , timing and admission source may not reflect the amount of care needed
During claims processing under the Patient-Driven Groupings Model (PDGM), Medicare systems will pull information to automatically assign appropriate early or late timing and community or institutional admission categories to patients. Both variables factor substantially into payment methodology, with paying higher rates for the first 30-day payment period and for patients coming from institutional sources.
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Under PDGM, timing and admission source may not reflect the amount of care needed - During claims processing under the Patient-Driven Groupings Model...