PDPM Rate Calculator
Calculate Patient-Driven Payment Model rates using current CMS FY 2025 guidelines. Get accurate PDPM assessments for skilled nursing facilities with proper case mix methodology.
PDPM Calculator
Geographic Adjustment
PDPM Results
PDPM Component Breakdown
CMS Guidelines Reminder
This calculator uses FY 2025 CMS rates and approved PDPM methodology. Accurate MDS assessments (especially Section GG function scores and BIMS cognitive scores) are critical for proper reimbursement.
Understanding PDPM
The Patient-Driven Payment Model revolutionizes Medicare reimbursement for skilled nursing facilities.
Patient-Driven
Reimbursement based on patient characteristics and needs
Five Components
PT, OT, SLP, Nursing, and Non-Therapy Ancillary
Variable Length
No therapy minimums or maximums required
Quality Focus
Emphasis on patient outcomes and satisfaction
PDPM Key Features
Classification Variables
- Primary diagnosis and comorbidities
- Cognitive and functional status
- Special care treatments and services
- Admission source (hospital vs. community)
Payment Components
- Physical Therapy (PT) Component
- Occupational Therapy (OT) Component
- Speech-Language Pathology (SLP) Component
- Nursing Component
- Non-Therapy Ancillary (NTA) Component
Optimize Your PDPM Reimbursements
Simpl Healthcare's integrated platform helps you maximize PDPM reimbursements through accurate assessments and comprehensive documentation.