Posted on: December 6, 2019
What's been on your mind?
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Read MorePosted 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 MorePosted 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.
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 MorePosted 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 MorePosted on: August 28, 2019
Is your current therapy company or in-house therapy team equipped to help you prepare, execute and succeed under PDGM?
Read MorePosted 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.
Read MorePosted 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!
Read MorePosted 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.
Read MorePosted 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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