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In a Year of Tricks, CMS Drops a TREAT with Home Health Final Rule

Posted on: October 30, 2020

CMS released the 2021 home health final rule on Thursday, October 29, 2020. HealthPRO Heritage at Home sorted through the mixed bag and found more treats than tricks!

There were minimal changes compared to the home health proposed rule that was released in July 2020. Probably the best news in the rule was the 1.9% aggregate increase (or $390 million) in reimbursement that agencies will realize in 2021. Although the increase was less than the original 2.6% increase that was in the proposed rule.

Other highlights from the final rule are as follows:

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Tags: PDGM, Home Health Agency, COVID-19

RCD Resumes for Home Health Services

Posted on: September 24, 2020

CMS began enforcement of Review Choice Demonstrations (RCD) on August 3, 2020. Home health providers in North Carolina and Florida were able to select their initial choice between August 3, 2020 and August 17, 2020. Home health in all demonstration states (Illinois, Ohio, Texas, North Carolina, and Florida) with billing periods beginning on or after August 31, 2020 will be subject to review under the choice selected.

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Tags: Home Health, PDGM, Home Health Agency

Home Health + COVID-19: Clinical and Financial Benefits

Posted on: September 15, 2020

While the medical industry learns to operate during COVID-19, HealthPRO Heritage at Home believes there has never been greater demand for home-based care options or recognition of the power and benefits of care delivered in the home, whether in person or through telemedicine.

The nationwide outbreak of COVID-19 has had a major impact on our healthcare system, and home health agencies across the country have been working hard to continue providing quality health care and services to their patients. Alongside the cost pressure of the 2020 Patient-Driven Groupings Model (PDGM) pressures, Medicare (CMS) continues to grow, with around 10,000 new individuals added to their roster every day.

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Tags: PDGM, Home Health Agency, COVID-19

Twelve New PDGM Home Health Clinical Pathways

Posted on: September 8, 2020

Earlier this year in quarter one, the National Association of Home Care and Hospice (NAHC) released preliminary data specific to the early PDGM claims and trends*. This was our first opportunity to be able to begin benchmarking performance compared to the trends that were occurring across the home health industry. HealthPRO Heritage at Home then performed a deeper investigation into each specific PDGM clinical grouping and determined...

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Tags: Home Health, PDGM

Home Health Proposed Rule for CY2021

Posted on: July 3, 2020

On June 26, 2020, the Centers for Medicare and Medicaid Services (CMS) released the Home Health proposed rule for 2021.

There were little to no changes with the PDGM payment model and it’s clear that PDGM is here to stay.  Additional highlights from this proposed rule are listed below:

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Tags: Home Health, PDGM

Home Health Pledge & Plan Amid COVID

Posted on: June 25, 2020

As the number of new COVID-19 cases rise and fall across the country, HealthPRO Heritage at Home reminds you that we are prepared above & beyond. Our 3-prong approach + Partnership Pledge provides support in the case of a second wave, or if infections increase in your market.

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Tags: Home Health, PDGM, COVID-19

Home Health Clinical Excellence

Posted on: June 10, 2020

For 15+ years, HealthPRO Heritage at Home has served the therapy needs of home health agencies who have counted on us as a trusted partner to address the challenges and opportunities unique to home health.

As the industry navigates changes brought by PDGM and COVID-19, HealthPRO Heritage at Home is well prepared to support partners with meaningful guidance and sophisticated resources that fortify operational success, financial growth, and clinical excellence, including:

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Tags: Home Health, PDGM, COVID-19

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

Early National PDGM Data and Metrics

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. 

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Tags: PDGM, Patient-Driven Grouping Model, #homehealth

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