2020 Medicare PDGM Survival Guide

Medicare has proposed a new payment system for 2020 Patient Driven Grouping Model (PDGM). The 153 HHRG scores will be expanded to 216. This is the most dramatic payment change since 2000!

This seminar will show you the change for Patient Driven Grouping Model (PDGM) Payment System

Navigate the Patient Driven Grouping Model (PDGM) effective January 1, 2020
Elimination of therapy visit payments
60 day to 30 day episodes billing
Elimination of medical supplies reimbursement
2.1% payment update for 2019
Home Infusion therapy services transitional payment
Outlier changes

Meet the Speaker

James Plonsey

President, Medicare Training & Consulting, Inc.

James E. Plonsey, President of Medicare Training & Consulting, has been involved in healthcare accounting and finance since 1980. He has been a member of the Healthcare Financial Management Association since 1983. Jim is well versed in all aspects of Medicare and Medicaid participation and reimbursement. His background includes experience with providers, with the Blue Cross Association, with a major teaching hospital, and with a major accounting firm; prior to starting his own firm, Medicare Training & Consulting, in 1990. Jim also organizes and conducts seminars on a variety of issues concerning reimbursement.

James Plonsey has over 30 years of healthcare experience including six years with Blue Cross Blue Shield Association, training 750 Medicare auditors for the Fiscal Intermediary. He has owned a Home Health, West Valley Home Health in Utah.

2020 – Patient Driven Group Model (PDGM)

- Medicare has issued FINAL Rules on October 31, 2019 Federal Register

- 5 Guaranteed Strategies to allow your HHA to thrive

- NEW RAP rules will pay only 20% in 2020 and 2021

- Most dramatic payment change since 2000!

- Navigate the Patient Driven Grouping Model (PDGM) effective 01/01/2020

- Eliminated extra reimbursement for Therapy Visits

- Move from 60 day payment system to 30 day payment schedule

- - Changes to Non-Routine Medical Supplies
  - New Home Infusion Payment Rules Effective January 1, 2021
- - Additional Reimbursement rates from Hospital or SNF

Who Should Attend

Home Health Agency Administrators
Nurse Administrators
Controllers
Billers
Directors of Nursing

Pricing

1 Person Total

$429

1 day training

Single agency

Course Materials

Lunch

Coffee

2 Persons Total

$829

1 day training

Same agency

Course Materials

Lunch

Coffee

3 Persons Total

$1199

1 day training

Same agency

Course Materials

Lunch

Coffee

Agency (Price Per Person)

$350

1 day training

Same agency

Course Materials

Lunch

Coffee

7 Continuing Education Units (CEU)

CANCELLATION POLICY: If Medicare Training and Consulting must cancel a seminar due to low registration, registrants will receive a full refund by their method of payment. If a participant cancels a reservation, notification must occur 15 or more calendar days before the meeting date for a 100% refund. A participant may enroll in a future course in lieu of a cash refund. Medicare Training & Consulting is unable to grant refunds for lodging, airfare, and other expenses.

Upcoming Events

Webinar: Hospice Audits On the Rise: ADR and Audit Response Requirements – Thursday, May 20th, 2021 1 PM Central Time

The Date: May 20th, 2021