PDPM begins October 1, 2019 and represents the largest change to the Skilled Nursing Facility (SNF) Prospective Payment System since its inception. The information and resources on this page are designed to help our provider partners understand the changes that will occur as the result of moving away from RUG-IV.
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We’ve pulled together the most important and relevant documentation to make things as easy as possible for you and your team.
For health systems and health plans navigating the fundamental shift from fee-for-service to value-based care, naviHealth is the only care transitions company with the post-acute care management expertise, technologies, clinical services, and post-acute provider network to optimize clinical, financial and quality outcomes across the care continuum.
naviHealth is accredited by NCQA in Utilization Management
Achieving NCQA Utilization Management Accreditation demonstrates that naviHealth has the systems, process and personnel in place to conduct utilization management in accordance with the strictest quality standards.
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