Early Errors and Therapy Turmoil: Home Health Insiders Weigh In on PDGM’s Arrival

The long-awaited Patient-Driven Groupings Model (PDGM) is finally here, marking the biggest home health reimbursement overhaul in two decades. PDGM officially launched on Jan. 1 after originally being proposed by the Centers for Medicare & Medicaid Services (CMS) in July 2018. With changes to billing periods, therapy reimbursement and LUPAs, it’s the most significant shift […]

Despite Challenges, Some See Upside in PDGM’s Therapy Overhaul

The Patient-Driven Groupings Model (PDGM) is still months away, but its projected impact on therapy utilization is already sending shockwaves throughout the home health industry. With an eye toward 2020, many providers anticipate cutting back on therapy and shifting their business models more toward nursing services, especially when it comes to higher-paying areas such as […]

CMS Proposal Takes Home Health Agency Closure Estimates and ‘Lights Them on Fire’

After federal health care policymakers fine-tuned the Patient-Driven Groupings Model (PDGM) last October with a 6.42% cut based on certain behavioral assumptions, some industry experts predicted there would be a modest uptick in home health bankruptcies in 2020. “The last time the industry went through this kind of major change was in the late 1990s […]

Home Health Audits Expected to Spike in PDGM Aftermath

Home health providers from coast to coast are scrambling to prepare their operations ahead of the Patient-Driven Groupings Model (PDGM) — but what comes after the new model’s implementation could cause agencies an even bigger headache. In the months after PDGM goes into effect, home health audits — much like bankruptcies — are expected to […]

Why Home Health Agencies Should Gear Up for PDGM’s Wound Care Opportunity

Home health providers across the country are fine-tuning their back-office and clinical operations for the intricacies of the Patient-Driven Groupings Model (PDGM). Wound care, in particular, can’t be neglected. Currently, wound care is one of the most frequent clinical groupings and the one utilizing the most in terms of home health resources, according to statistics […]

Creative PDGM Therapy Strategies for Home Health Agencies

When the Patient-Driven Groupings Model (PDGM) takes effect on Jan. 1, 2020, therapy-heavy home health agencies will have to get creative to ensure the new model doesn’t hurt their bottom line. PDGM eliminates therapy-visit volume as a determining factor in calculating reimbursements, meaning therapy will no longer be a guaranteed revenue-driver for home health agencies. […]

PDGM’s More Complex Approach to Comorbidity Adjustments Raises Doubts

The forthcoming Patient-Driven Groupings Model (PDGM) could potentially alter the way that home health providers are reimbursed for treating patients with comorbid conditions. These proposed changes should be among the elements of PDGM raising concerns for the industry, considering that they add complexity and yet could result in nearly 95% of providers getting very little […]

Webinar Last Chance: Leveraging Technology On Your Path for a 5-Star Rating

The strategic use of technology has never been more important to home health and hospice organizations than it is today. Industry leaders are incorporating technology into every aspect of their organization in order to streamline operations, retain staff and bring money in the door, all while maintaining a high quality of care. With regulatory changes […]

Webinar: Leveraging Technology On Your Path for a 5-Star Rating

The strategic use of technology has never been more important to home health and hospice organizations than it is today. Industry leaders are incorporating technology into every aspect of their organization in order to streamline operations, retain staff and bring money in the door, all while maintaining a high quality of care. With regulatory changes […]