2020 PDGM (Patient Driven Grouping Model) \ PPS Refinement

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)

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
Additional Reimbursement for Hospital or SNF Admissions

Topics	2019 Survival Guide	2 Day PDGM
Navigate the Patient Driven Grouping Model (PDGM) effective January 1, 2020	X	X
60 day to 30 day episodes billing	X	X
Home Infusion therapy services transitional payment	X	X
Outlier changes	X	X
Eliminated extra reimbursement for Therapy Visits	X	X
Move from 60 day payment system to 30 day payment schedule	X	X
Changes to Non-Routine Medical Supplies	X	X
Outpatient therapy reimbursement	X	X
New cost report forms updates	X	X
RAP Reduction Strategies	X	X
Dealing With Cash Flow Reduction	X	X
Elimination Of Medical Supplies Reimbursement		X
Medicare Advantage Strategies		X
Md Physician Billing Rules Affecting HHA Referral		X
CLIA Billing Rules		X
Marketing Strategies Under PDGM		X
Flu Shots Reimbursement		X
Identify 5 Sure-Fire Strategies To Deal To Win Under PDGM	X	X

Seminar Topics

Outlier per unit changes
HHA free patient rides rules
Negative wound pressure therapy billing
Medicare Advantage strategies
MD Physician billing rules affecting HHA referral
Outpatient therapy reimbursement
CLIA billing rules
New cost report forms updates

Who Should Attend

Home Health Agency Administrators
Nurse Administrators
Controllers
Billers
Directors of Nursing

Pricing

1 Person Total

$529

2 day training
Single agency
Course Materials
Lunch
Coffee

2 Persons Total

$998

2 day training
Same agency
Course Materials
Lunch
Coffee

3 Persons + (per person)

$479

2 day training
Same agency
Course Materials
Lunch
Coffee

14 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

2023 Home Health Survey – June 5, 2023 – Lombard, IL

The Date: June 5th, 2023

City: Lombard, IL