The nuts and bolts of prospective payment

How does a skilled nursing facility survive and thrive under the prospective payment system (PPS)? To begin, PPS risks must be fully understood and managed in terms of the Resource Utilization Groups Version III (RUGS III) and the Minimum Data Set (MDS) 2.0. Second, strategies for change within the organization must be developed and implemented. Third, managing costs under the PPS must become the priority.