In order for home health providers to see reimbursement success, they need to be able to separate myths from facts when it comes to the Patient-Driven Groupings Model (PDGM). But one specific point of confusion has been primary diagnosis clinical groups. “There are a lot… Read More »Debunking Common PDGM Primary Diagnosis Myths
Home health providers have been on the front lines of the COVID-19 crisis since its outset, yet a primary concern remains being left behind by legislators, whether that’s on a state or federal level. Reimbursement for telehealth services is still on the forefront of everyone’s… Read More »Assisted Living Facilities Still Restricting Home Health Providers
In the build-up to 2020 and the Patient-Driven Groupings Model (PDGM), many home health providers began shifting their referral strategies to focus more on hospitals, skilled nursing facilities (SNFs) and other institutional sources. Generally, providers realized that patients coming from such settings likely meant more… Read More »Elara Caring Targets Physicians as Home Health Providers Rethink Referrals
The impact of the Patient-Driven Groupings Model (PDGM) doesn’t appear to be universal. In fact, each home health care agency’s performance under the model seems to depend on a few somewhat uncontrollable factors, new PDGM data suggests. “CMS created a model that was based on… Read More »Early Data Shows PDGM’s Regional Winners, Losers
The Centers for Medicare & Medicaid Services (CMS) was a little bit off with some of its predictions related to the Patient-Driven Groupings Model (PDGM). At least, that’s true when it comes to the first four months of 2020, according to Strategic Healthcare Programs (SHP)… Read More »PDGM Data Shows Reality-Versus-Expectations Mismatch for Case-Mix Components
Even before the coronavirus hit, cash flow was poised to be a problem for home health providers in 2020. The Patient-Driven Groupings Model (PDGM) shortened home health billing periods from 60 days to 30, creating a cash flow crunch for agencies during their first few… Read More »Home Health Cash Flow Has Yet to Recover from Post-PDGM Dip
