CMS Updates Providers on PDGM and Quality Reporting Program

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The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice & DME Open Door Forum yesterday where CMS representatives provided information on the new Home Health Patient Driven Grouping Model (PDGM), the home health quality reporting program and the Hospice Quality Reporting Program.  A summary of the information shared is below. Home […]

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CMS Issues Instructions for PDGM Claims Processing

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The Centers for Medicare & Medicaid Services (CMS) has issued Change Request 11081, which provides claim processing  instructions to the Medicare Administrative Contractors ( MACs) that will be necessary to process home health claims with the implementation of the Patient Driven Groupings Model (PDGM). The PDGM will assign 30-day periods of care into one of […]

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New Legislation to Vastly Improve PDGM Introduced in Senate

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Bipartisan legislation (S. 433) has been introduced in the United States Senate to improve home health payment reforms to ensure beneficiary access to quality care services is not compromised for America’s growing senior population. Introduced by Senators Susan Collins (R-ME), John Kennedy (R-LA), Bill Cassidy (R-LA), Rand Paul (R-KY), Debbie Stabenow (D-MI), Doug Jones (D-AL) and […]

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CMS to hold Important Call on PDGM

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The Medicare Learning Network (MLN), part of the Centers for Medicare and Medicaid Services (CMS), will be present a call on the home health Patient-Driven Groupings Model (PDGM) on Tuesday, February 12, 2019 from 1:30 to 3:00 PM ET. REGISTER NOW! During this call, learn about the Patient-Driven Groupings Model (PDGM) that will be implemented […]

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NAHC President Bill Dombi Gives Policy Update to Home Health Care News

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Normally, to receive a home health and hospice policy update from NAHC President William A. Dombi, you need to attend a NAHC conference or be present for one of his many speaking engagements around the country. However, Mr. Dombi recently appeared on the Disrupt podcast of Home Health Care News and he provided an invaluable […]

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Prepare Now for the Coming Payment Revolution!

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The Patient-Driven Groupings Model (PDGM) will revolutionize the payment methodology for all Medicare Home Health Agencies in the United States. Created by the Centers for Medicare & Medicaid Services (CMS), PDGM is slated to debut on January 1, 2020, and home health agencies must prepare immediately for the most important change to the Medicare home […]

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Summary of CMS Forum on PDGM, RCD & Much More

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The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, and DME Open Door Forum (ODF) yesterday afternoon.  Topics included Patient Driven Groupings Model (PDGM) Review Choice Demonstration Home Health Quality Reporting Program Home Health CAHPS Survey Hospice Quality Reporting Program Hospice CAHPS Survey Change Request (CR) 11049 A summary of the […]

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CMS Call to Provide Guidance on Patient-Driven Groupings Model

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The Centers for Medicare & Medicaid Services (CMS) and the Medicare Learning Network will hold a conference call in February 2019 to provide information about the Patient-Driven Groupings Model (PDGM), a radical change in home health payment. The call will occur on Tuesday, February 12, 2019 from 1:30 to 3:00 PM Eastern Time. The intended […]

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Home Health Must Prepare for the Coming Payment Revolution

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The Patient-Driven Groupings Model (PDGM) will revolutionize the payment methodology for all Medicare Home Health Agencies in the United States. Created by the Centers for Medicare & Medicaid Services (CMS), PDGM is slated to debut on January 1, 2020, and home health agencies must prepare immediately for the most important change to the Medicare home […]

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Home Health Must Prepare for the Coming Revolution in Home Health Payment

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NAHC to co-sponsor 12 intensive, day-long summits across the country The Patient-Driven Groupings Model (PDGM) will revolutionize the payment methodology for all Medicare Home Health Agencies in the United States. Created by the Centers for Medicare & Medicaid Services (CMS), PDGM is slated to debut on January 1, 2020, and home health agencies must prepare […]

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NAHC Opinion Column in The Hill Urges Congress to Stop PDGM

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An opinion piece authored by William A. Dombi, President of the National Association for Home Care & Hospice (NAHC), and Keith Myers, Chairman of the Partnership for Quality Home Healthcare, calls on Congress to stop implementation of the Patient Driven Groupings Model (PDGM), a controversial program by the Centers for Medicare & Medicaid Services (CMS) […]

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What Do the 2018 Midterm Elections Mean for Home Care and Hospice?

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The mid-term election dust has yet to fully settle, with a number of races still not final. Still, the results so far provide some guidance as to what the election may mean for home care and hospice. To start with, the transfer of power to Democrats in the House of Representatives and the strengthening of […]

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