Welcome to the HealthPRO Heritage Blog

Home Health PDGM Final Rule Released

Posted on: November 2, 2018

CMS released the much anticipated Home Health Final Rule October 31. Much of the content from the Proposed Rule and the Final Rule will remain the same, with significant changes highlighted below.

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Tags: Home Health, CMS Update 2018, PDGM

Brace Yourself for PDPM: Knowing the Predicted Fiscal Impact is Your First Step

Posted on: October 11, 2018

Step one to ensuring your facility delivers positive patient outcomes, maintains regulatory compliance, and achieves financial viability in the New PDPM World is to perform a RUGs-to-PDPM Crosswalk on all your patients.

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

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?

NOW WHAT?
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, PDPM, PDGM

PDPM & PDGM: Let's Break Down the Confusion...Pt 2

Posted on: July 25, 2018

If the 2019 proposed rule is finalized, which we anticipate is likely, it will cement the shift in Medicare’s payment system from a prospective payment system to value based purchasing model.  With these mega changes it can feel like a daunting task to provide clinical excellence while maintaining a profit, thus it will be paramount that detailed analysis and strategies be developed to ensure that we keep patient care as our number one priority.

Following a thorough review of the 599-page “Proposed Rule”, HealthPRO Heritage experts offer the following highlights on the PDGM section of the rule:

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Tags: CMS Update 2018, PDPM, PDGM

PDPM & PDGM: Let's Break Down the Confusion...Pt 1

Posted on: July 12, 2018

On Monday, July 2, 2018, Centers for Medicare and Medicaid Services (CMS) released the 2019 Proposed Rule. Our industry has been anxiously awaiting this announcement since the introduction of “Home Health Groupings Model,” or HHGM in July 2017.

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Tags: CMS Update 2018, PDPM, PDGM