PDGM
Home Health Reminder and CMS Update to PDGM Split Implementation Instructions
REMINDER: Home Health RAPs Hold Medicare Administrative Contractors (MACs) typically hold claims for a brief period each quarter when they implement system releases. This January, home health Requests for Anticipated Payment (RAPs) are affected by implementation of the Home Health Patient-Driven Groupings Model. MACs will hold RAPs with From Dates on or after January 1, […]
Read MoreImportant Information for all HHA in Review Choice Demonstration under PDGM
For those home health agencies that are part of the Review Choice Demonstration and have selected the Pre-claim Review (PCR) option, the long awaited CMS update confirming that HHAs will need to submit a PCR for each 30-day billing period has been posted. CMS updated the RCD Operational Guide, Chapter 6, with the following: For […]
Read MoreNew NAHC Webinar: Last-Minute Tips to Master PDGM
The Home Health and Financial Managers Association will provide a special live Update with the Experts to provide all home health operators with a final presentation on how to prepare for the Patient Driven Groupings Model (PDGM) when it takes effect on the first day of the new year. This special live Update with the […]
Read MoreNew NAHC Webinar Has All the Info You Need on how PDGM will Impact Physicians
The National Association for Home Care & Hospice (NAHC) will present a new educational webinar for home health professionals, A Guide to the NAHC PDGM Physician Toolkit, on Wednesday, December 11, 2019 from 3:30 to 4:00 PM Eastern Time. This webinar is free to members and non-members alike! REGISTER NOW! NAHC has developed a suite […]
Read MoreNAHC Has All the Info You Need on how PDGM will Impact Physicians
The National Association for Home Care & Hospice (NAHC) will present a new educational webinar for home health professionals, A Guide to the NAHC PDGM Physician Toolkit, on Wednesday, December 11, 2019 from 3:30 to 4:00 PM Eastern Time. This webinar is free to members and non-members alike! REGISTER NOW! NAHC has developed a suite […]
Read MoreHome Health Quality Reporting Program Updates
OASIS Considerations for Medicare PDGM Patients The Centers for Medicare & Medicaid Services (CMS) has posted resource, OASIS Considerations for Medicare PDGM Patients, to assist agencies with OASIS considerations during the PPS-to-Patient Driven Groupings Model (PDGM) transition. This document provides guidance to providers on how to correctly complete the M0090 Date Assessment Completed for patients starts […]
Read MorePDGM Fight Proves the Power of Home Health & Hospice Advocates
When the Centers for Medicare & Medicaid Services (CMS) included a pre-emptive reduction in the base payment rate of 8.01 percent in the Patient Driven Groupings Model (PDGM) of the CY 2020 Home Health Prospective Payment System Rate Update, the National Association for Home Care & Hospice (NAHC) sprang into action, leading a nationwide education […]
Read MoreDon’t Miss this Regulatory Update for Home Care and Hospice
If you have ever been in attendance when NAHC President William A. Dombi is delivering his signature update on regulatory policy for home care and hospice, you know it is the most trusted and comprehensive policy briefing in the industry. Now is your chance to get the latest version of that briefing without leaving your […]
Read MoreCMS Issues 2 New Articles on PDGM
There are two new MLN articles pertaining to the Patient Driven Grouping Model (PDGM). MLN SE 19027 Overview of the Patient Driven Groupings Model is intended for physicians who order home health services. This article includes eligibility criteria for Medicare home health services as well as some information on certification in addition to PDGM. The […]
Read MoreNAHC Webinar: Regulatory Update for Home Care and Hospice
If you have ever been in attendance when NAHC President William A. Dombi is delivering his signature update on regulatory policy for home care and hospice, you know it is the most trusted and comprehensive policy briefing in the industry. Now is your chance to get the latest version of that briefing without leaving your […]
Read MoreCMS Issues Manual Updates Related to PDGM
The Centers for Medicare and Medicaid Services (CMS) has issued Change Request (CR) 11527, which includes further updates to the Claims Processing Manual, chapter 10, related to the Patient Driven Grouper Model (PDGM). The CR clarifies that a beneficiary is not required to be discharged form home health services if an inpatient stay spans across […]
Read MoreCMS Provides Critical Updates on Home Health and Hospice in Latest Open Door Forum
On November 6, 2019 the Centers for Medicare & Medicaid Services (CMS) held an Open Door Forum (ODF) for home health, hospice, and durable medical equipment (DME) providers. During the ODF, CMS provided the following updates for home health and hospice. Key topics include Review Choice Demonstration, PDGM billing, Transition to IQUIES, the CY2020 Home […]
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