McBee Associates

How Home Health Agencies Can Optimize Outcomes, Avoid LUPAs Under PDGM’s 30-Day Billing Periods

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The switch to the Patient-Driven Groupings Model (PDGM) was always going to be a hurdle for home health agencies, but the onset of the COVID-19 crisis has exacerbated the woes associated with it. For instance, managing 30-day billing periods and avoiding low-utilization payment adjustments (LUPAs)… Read More »How Home Health Agencies Can Optimize Outcomes, Avoid LUPAs Under PDGM’s 30-Day Billing Periods

An ‘Awkward Transition Year’: Why 2021 Will Look Different in Home Health with New RAP Adjustments

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The U.S. Centers for Medicare & Medicaid Services (CMS) issued its final 2021 home health payment rule in late October. When it came out, some providers were less than pleased. On one hand, the Patient-Driven Groupings Model (PDGM) wasn’t substantially altered to balance out its… Read More »An ‘Awkward Transition Year’: Why 2021 Will Look Different in Home Health with New RAP Adjustments