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 […]
The home health industry has won another victory in Washington, D.C., in its battle against certain parts of the Patient-Driven Groupings Model (PDGM) and shift toward a more pre-acute care identity. Sens. Susan Collins (R-Maine), Bill Nelson (D-Fla.) and Debbie Stabenow (D-Mich.) introduced the Home Health Payment Innovation Act — S. 3545 — on Wednesday. […]
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