Home health providers should brace themselves for a potential Patient-Driven Groupings Model (PDGM) battle with the U.S. Centers for Medicare & Medicaid Services (CMS) later this year. Implemented on Jan. 1, 2020, PDGM is the largest overhaul to how Medicare-certified home health agencies are paid in two decades. And normally when CMS implements something of […]
PDGM
The latest proposed payment model from the Centers for Medicare & Medicaid Services (CMS) could shake up how the home health industry treats referrals that come from institutional settings versus community-based ones. As a result of changes under the Patient-Driven Groupings Model (PDGM), agencies may start trying to form closer relationships with hospitals or skilled nursing […]
There are a variety of technical changes and nuances home health providers need to be aware of before the new Patient-Driven Groupings Model (PDGM) goes into effect in 2020. The Centers for Medicare & Medicaid Services (CMS) released details of its home health payment reform plan in its July 2 proposed rule. In its initial […]
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