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Patient Driven Payment Model (PDPM) Corrections to Claims Processing Edits

The purpose of this Change Request (CR) is to update current Skilled Nursing Facility (SNF) PDPM claims processing edits in order to process and pay claims correctly.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 20, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.