Welcome to the HealthPRO Heritage Blog

2019 Year in Review

Posted on: December 6, 2019

What's been on your mind? 
More than 90,000 visitors have clicked through HealthPRO Heritage resources to access updates & advice from our subject-matter experts. 

Don't miss out on today's most relevant topics! Click on the blog titles below: 

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Tags: Patient-Driven Payment Model, PDPM, CMS Update 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.

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Tags: Home Health, PDGM, CMS Update 2019

Finger 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.

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Tags: snf, Patient-Driven Payment Model, PDPM, CMS Update 2019

An 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. 

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Tags: snf, Skilled Therapy, Patient-Driven Payment Model, PDPM, CMS Update 2019

LUPA 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. 

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Tags: Home Health, PDGM, CMS Update 2019, LUPA

Will 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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Tags: Home Health, PDGM, CMS Update 2019

Considering In-House Therapy? The Good, the Bad, and the Ugly

Posted on: August 15, 2019

As one of the first therapy companies to specialize in management services for in-house therapy programs, HealthPRO® Heritage was founded 20+ years ago and has since evolved into one of the most prominent, privately-owned therapy AND consulting firms in the country. This article offers SNF providers the benefit of our years’ experience and insight into how PDPM will certainly pressure-test delivery of rehab services – especially for in-house therapy programs.

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Tags: Skilled Therapy, Patient-Driven Payment Model, PDPM, CMS Update 2019

The Only Constant is Change...and Documentation

Posted on: August 7, 2019

The Home Health industry continues to evolve: the updated Conditions of Participation (CoPs) in 2018, then OASIS-D and the Review Choice Demonstration (RCD) in 2019, and now the Patient-Driven Groupings Model scheduled for 2020, just to name a few!  Change can be exhausting, so it is comforting to know that some things aren’t changing...like documentation!

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Tags: Home Health, PDGM, CMS Update 2019, Documentation

CMS' Final Rule is Here!

Posted on: July 31, 2019

Tuesday was the day! On July 30, CMS released the FY 2020 Final Rule for Medicare payment rates and quality programs. This is the moment we have all been waiting for. PDPM is 9 short weeks away, and the industry finally has clarifications RE: the new payment model.

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Tags: The Final Rule, Patient-Driven Payment Model, PDPM, CMS Update 2019

CMS Issues Updated Home Health Proposed Rule

Posted on: July 12, 2019

On July 11, 2019, Centers for Medicare & Medicaid Services (CMS) issued the 2020 Home Health Prospective Payment System (PPS) Proposed Rule (effective January 1, 2020). While many of the provisions in the original Patient-Driven Groupings Model (PDGM) remain unchanged, the home health experts from HealthPRO Heritage at Home offer the following summary of important updates:

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Tags: Home Health, PDGM, CMS Update 2019