Welcome to the HealthPRO® Heritage Blog

Solutions for HHAs Amidst COVID-19 + PDGM

Posted on: April 9, 2020

HealthPRO® Heritage at Home: PPE/Safety Update
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Tags: PDGM, Home Health Agency, COVID-19, Coronavirus

A True Home Health Partner through the COVID-19 Crisis

Posted on: March 18, 2020

Amidst the COVID-19 crisis, HealthPRO® Heritage has organized a multi-faceted approach to preparedness and promotion of safe treatments to our patients, and implementation of strict precautions to prevent the risk of the virus spreading. Our Physical, Occupational, and Speech Therapists remain available and ready to serve the immediate patient care needs of our agency partners, many of whom are reporting staffing challenges.

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Tags: Home Health Agency, COVID-19

The Dangers of Therapy Underutilization Part 2: The Effect of Patient Outcomes on Star Ratings

Posted on: March 6, 2020

The Patient Driven Grouping Model (PDGM) was implemented January 1, 2020 and changed reimbursement models of Medicare home health services from therapy utilization driven to patient characteristics. While this has allowed for a focus from quantity to quality, some home health agencies are restricting therapy visits and placing their quality measures, Star Rating, and most importantly patient outcomes at risk. CMS calculates Star Ratings through several areas therapy may influence including, ambulation, bed transfers, bathing, discharge location, and rehospitalizations.

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Tags: Home Health, Senior Living Community, PDGM, Patient-Driven Grouping Model, Home Health Agency

The Dangers of Therapy Underutilization - Part 1: The CMS Perspective

Posted on: February 18, 2020

In the past years, overutilization of therapy had been a concern for CMS as most agencies were using therapy as a driving force for reimbursement under the previous prospective payment system and had identified significant overutilization of therapy visits by as much as 30-40%. However, audits revealed that nursing visits were also over utilized along with therapy. One would assume that nursing should be equally held accountable under PDGM for patient improvements as well and not assume that they get a free pass. However, there has been no reduction in the nursing salaries, workforce, or in their allowed patients visits thus far under PDGM by most agencies. Nursing visits were never a factor contributing to reimbursement, yet are still valued as an integral contribution to a home health episode. Therapy should not be different. PDGM does eliminate therapy-visit volumes as a determining factor in calculating reimbursements, but that does not mean that the need for therapy has changed. Therapists are strategically positioned to promote, enhance, and improve a patient’s functional abilities in the realm of home health; however, there are barriers to their services because of some agency practices. This may include reduction in therapy visit utilization, frequency or restricting disciplines.

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Tags: Home Health, PDGM, Home Health Agency

RCD: Are You Ready?

Posted on: January 23, 2020

Review Choice Demonstration came to Ohio September 30th, 2019 and hot on its heels is PDGM. The more prepared you are for all of the changes that come, the better poised your agency will be in the coming months and years.

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Tags: Home Health, PDGM, Home Health Agency

PDGM Eve and 2019 in Review

Posted on: December 31, 2019

PDGM Implementation is Tomorrow! 
In 2019, we've published extensive break-downs of the things you may need to know about therapy in Home Health Agencies and Senior Living facilities. 

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Tags: Home Health, PDGM, Patient-Driven Grouping Model, Home Health Agency, CMS Update 2020

HealthPRO® Heritage at Home Consulting – More Than Advice

Posted on: December 10, 2019

HealthPRO® Heritage at Home is fully prepared to bring its expertise and resources to home health agencies looking to strategize and succeed under PDGM. Among the many offerings to agencies are [+ downloadable checklist*]:

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Tags: PDGM, Home Health Agency

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 developed resources for your referral sources to easily identify the top diagnoses per clinical grouping [download below].

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Tags: PDGM, Home Health Agency