Welcome to the HealthPRO® Heritage Blog

Emerging Trends: Coding Under PDPM

Posted on: November 14, 2019

More than 70% of hospitals outsource at least a portion of coding duties to professional Certified Coders. This fact begs the question: Why shouldn’t skilled nursing operators also seek out the expertise of professional coding experts to optimize coding? After all, accurate, optimal, and timely coding is critical to PDPM success!

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Tags: Patient-Driven Payment Model, PDPM

What's on the Menu? Top Diagnoses for Each Clinical Grouping

Posted on: November 12, 2019

With PDGM less than 8 weeks away, it is imperative that we begin finalizing the details. One of the most important components under the new payment model is to receive an accurate primary diagnosis that falls into one of the 12 clinical groupings. We understand how critical it is to your revenue cycle to get it right the first time. And though the home health industry and our referral sources are clear that questionable encounters can no longer be used, they are tired of hearing what they CANNOT order. They are hungry to find out what IS available on the menu from which to choose, so HealthPRO® Heritage at Home is developing resources for your referral sources to easily identify the top diagnoses per clinical grouping... check back soon!

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Tags: Home Health, PDGM

Measuring Success & Emerging Trends Under PDPM

Posted on: November 7, 2019

We all survived the PDPM transition on October 1. Now what?

As the dust settles, SNFs may be wrestling with an important question: How will the industry define and measure success under PDPM & Beyond?

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Tags: snf, Patient-Driven Payment Model, PDPM

Trick or Treat? CMS Releases Final Rule for Home Health CY2020

Posted on: November 1, 2019

October 31, 2019 – As expected, CMS finalized the significant payment model change for Home Health services starting in 2020. The Patient-Driven Groupings Model (PDGM) will start with any new patient episodes on or after 01/01/2020.

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Tags: Home Health, Final Rule, PDGM, Patient-Driven Grouping Model