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?
Read MoreMeasuring Success & Emerging Trends Under PDPM
Posted on: November 7, 2019
CMS Releases Final Rule for Home Health CY2020... Trick or Treat?
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.
Read MoreFour Pillars of Success for PDGM
Posted on: October 21, 2019
With only 11 weeks left until the January 1, 2020 implementation date of PDGM, we are now into a time for final preparations. After months of education to help home health agencies prepare, execute, and succeed, we now summarize and offer what we believe will be the Four Pillars of Success under PDGM.
Read MoreFinger on the Pulse: Initial Reactions to PDPM & Updates from the Front Line
Posted on: October 15, 2019
Gut-Check Survey Results + Feedback from the PDPM Front Line
HealthPRO Heritage launched a survey – “PDPM Gut-Check” – to capture how the industry is feeling about the new reimbursement system. Here’s what you and your peers had to say.
Understanding F2F, TPE, and RCD
Posted on: October 8, 2019
With PDGM on the horizon in less than 100 days, agencies are hearing more chatter around three key areas: Face-to-Face (F2F) Encounters, Targeted Probe and Educate (TPE), and Review Choice Demonstration (RCD). All three will affect reimbursement as agencies will need to utilize best practices. Agencies must thoroughly understand the requirements of each process to sustain viability going forward.
Read MoreAn Industry Gut-Check: What's Your PDPM Confidence Level?
Posted on: October 1, 2019
Now is the time for our industry to over-communicate! Put your two cents in, and learn more about what your peers are thinking, feeling, and what’s keeping them up at night, too.
Read MoreLUPA Management: Avoiding the 4 Letter Word
Posted on: September 27, 2019
LUPA (Low Utilization Payment Adjustment), the 4 letter word that we have all been trying to avoid under the current PPS system. Just when we thought we had it under control, CMS has decided to add a whole other level of complexity with PDGM. The challenge to managing LUPA’s under PDGM will be two-fold; a “moving LUPA” for each 30-day payment, and the need to meticulously manage visits within each of those 30-day windows to avoid that LUPA.
Read MoreAchieving Agency Growth Under PDGM
Posted on: September 11, 2019
With PDGM a mere 3 months away, agencies need to focus not only on preparing for the biggest change to Medicare reimbursement in 20 years, but also be diligent in developing their 2020 marketing plan to ensure successful growth. Home care is uniquely positioned as one of the lowest cost options for skilled care and is available to patients who adhere to the home bound status. One aspect that does not change with payment reform is the ongoing need for quality and value based care delivered in the home.
Read MoreHow to Choose (and Be) a Good Strategic Partner
Posted on: August 29, 2019
Recent CMS initiatives have created an interesting dynamic in the post-acute care industry: Providers across the care continuum are being incentivized to form strategic partnerships and hold each other accountable for delivering efficient, enhanced patient care.
Read MoreWill You Sink or Swim in PDGM? Care Pathways to Success
Posted on: August 28, 2019
Is your current therapy company or in-house therapy team equipped to help you prepare, execute and succeed under PDGM?
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