Nearly half of home health providers anticipate decreasing their therapy utilization in 2020 in response to the Patient-Driven Groupings Model (PDGM), a payment overhaul from the Centers for Medicare & Medicaid Services (CMS) that is partially designed to refocus the industry toward nursing. Among its changes, PDGM shifts home health payment away from existing therapy […]
Kornetti and Krafft Health Care Solutions
Whenever policymakers aim potentially controversial or burdensome regulations at the home health industry, stakeholders big and small typically march in lockstep to ward off attacks. But this year’s proposed iteration of pre-claim review appears to be an exception. There is a noticeable divide between larger home health providers and smaller ones—and a more muted overall […]
Proposed policy changes related to how home health agencies bill for therapy shouldn’t cause the industry to cut staff or abruptly back away from those services, experts say. Under the Patient-Driven Groupings Model (PDGM) proposed by the Centers for Medicare & Medicaid Services (CMS) on July 2, home health providers would no longer be able […]
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