Problem concerning patient-driven payment model


Question: Patient-Driven Payment Model (PDPM), the concept of thresholding is discussed. The PDPM was adopted to eliminate therapy minutes from the reimbursement calculation due to increasing compliance concerns with facilities "gaming the system.". One way to fight fraud is to think about the ways one could commit fraud within an established system. Is there a way that facilities could "game" the PDPM model? Explain your logic. Need Online Tutoring?

 

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