Welcome to the HealthPRO® Heritage Blog

From PDPM to PDGM: Home Health in the Hot Seat

Posted on: August 30, 2018

How Will the Recent Home Health Proposed Rule Affect the PAC Industry?

PDGM (Patient-Driven Groupings Model) was recently announced in July as part of the Proposed Rule published by CMS and is anticipated to be THE biggest change in home health reimbursement 20+ years!

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Tags: Home Health, CMS Update 2018, PDGM

What are the "Do's and Don'ts" for PDPM Success?

Posted on: August 24, 2018

HealthPRO® Heritage Announces Our Top 10 “Do” List for PDPM Success

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Tags: CMS Update 2018, Payment Reform, Patient-Driven Payment Model, PDPM

What is the Key to Successfully Navigating the PDPM Transition?

Posted on: August 15, 2018

With only 14 months to prepare for the industry’s biggest change in 20 years, HealthPRO® Heritage offers this advice:  Don’t be overwhelmed by the complexities of PDPM.  Instead: 


To successfully navigate the transition to PDPM, providers can focus TODAY on developing & honing very specific core competencies without impacting their performance under the current RUGS.    

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Tags: CMS Update 2018, Payment Reform, Patient-Driven Payment Model, PDPM

New Long Stay Quality Measures (QMs): Unplanned Hospitalizations or Outpatient Observation Stays

Posted on: August 9, 2018

Hear Ye, Hear Ye! The new Long Stay Quality Measure for hospitalizations are to be posted on Nursing Home Compare in October 2018. The formal name for this measure is Number of Hospitalizations per 1,000 Long-Stay Resident Days.

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The VBP Score Reports Are Published: Now What?

Posted on: August 6, 2018

CMS released 2019 SNF Value Based Purchasing (VBP) Score Reports on Friday, August 3.

The Score Report identifies whether SNFs are eligible for any portion of the 2% withhold of the Medicare Fee for Service revenues this October.

The implications are critical. Two percent (2%) of your Fee for Service Medicare revenue will be withheld, a potential negative impact exists on revenue and/or budget (if the 2% was not considered in budgeting processes for Q4 2018). Do you know if you will receive any incentive payments based on your performance in CY 2017?

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Tags: SNF VBP, CMS Update 2018

Final Rule Released: Game On

Posted on: August 1, 2018

Final Rule Indicates PDPM Transition is “A Go!”
No Significant Changes

According to CMS’ Final Rule released July 31, PDPM (Patient-Driven Payment Model) will replace the current RUG-IV system – as originally proposed – on October 1, 2019.

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Tags: CMS Update 2018, Payment Reform, Section GG, Patient-Driven Payment Model, PDPM