Posted on: March 24, 2020
The National Association of Home Care and Hospice (NAHC) has released preliminary data specific to the early PDGM claims and trends. This is our first opportunity to be able to begin benchmarking performance compared to the trends that are occurring across the industry. Below you will find various different metrics that can be used to compare your agency performance under PDGM to the national averages of claims data submitted thus far.
Read MorePosted 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.
Read MorePosted on: February 28, 2020
CMS issues warning to home health agencies – don’t aggressively change your therapy utilization!
“There is no need to drastically change behavior,” says Senior Vice President of Home Health Operations David Jones. “In fact, agencies that do are at risk under the watchful eye of CMS.”
Read MorePosted on: February 5, 2020
With one month since the PDGM transition, the industry asks, “How can we assure and measure whether our teams are successfully navigating the transition to PDGM?” Jason Sasser, PTA/CWT/CSST/ COQS, Vice President of Clinical Strategies, HealthPRO Heritage at Home, reflects on the industry’s most pertinent questions related to PDGM best practices and how to measure success.
Read MorePosted on: January 7, 2020
The Patient-Driven Grouping Model (PDGM) is almost one week underway! In order to assist with the transition to PDGM, CMS has updated OASIS data collection. These revisions include the addition of two new items and change twenty-three existing items as optional at some OASIS time points. Let’s breakdown the changes.
Read MorePosted 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.