The Patient-Driven Grouping Model (PDGM) represents the most sweeping changes in the home health industry since the introduction of the Prospective Payment System (PPS) in 2000.

Being ahead of the crowd and understanding the role YOUR documentation plays such an important role. Solid Home Care documentation is the KEY to survival with Targeted Probe and Educate (TPE) audits, accurate functional scoring, star ratings, and ultimate PDGM success. Learn the importance of the comprehensive assessment to support the POC and OASIS responses and be prepared for the survey by adherence to the CoP’s.

This seminar offers education and strategy to provide agency owners, administrators, business managers and billing staffs with practical information to equip your agency to collect and retain reimbursements due from all payer sources. The continuing shift in the industry to tie payments to quality services hits home in 2023 with the nationwide implementation of Home Health Value Based Purchasing. National Medicare enrollment continues to move toward enrollees choosing Medicare Advantage Commercial Insurers while the Medicare Fee- For Service enrollment continues to diminish as a percentage of total. Our experienced industry experts will provide valuable practical insight that will be beneficial and enlightening to newly certified or long-standing home health provider administration and staff members.

During COVID-19 pandemic, Medicare has not adjusted Home Health Reimbursement rates. Instead, the focus was on providing safe patient care.
Medicare has proposed a massive 4.2% reduction in payments beginning on 1/1/2023. After reviewing the cost report data, Medicare has adjusted all 432 HIPPS Rates and adjusted the LUPA threshold amounts.