HEALTHCAREfirst has the answer to managing cost and spending under PDGM.

The Patient-Driven Groupings Model (PDGM) is a new payment model for the Home Health Prospective Payment System (HH PPS) that relies more heavily on clinical characteristics and other patient data to classify home health periods of care into meaningful payment categories. It also eliminates the use of therapy service thresholds and separate payments for medical supplies. It’s scheduled to begin January 1, 2020 and is widely considered the most significant change to the home health industry since the implementation of the HH PPS in 2000.

Home health providers of all shapes and sizes can expect to see significant changes for episodes beginning on or after January 1, 2020. It completely changes the current methodology for calculating home health payments. You must have a deep understanding of how PDGM works and how it will affect reimbursement to successfully prepare well in advance of the change.

Download our book, From Clinical to Coding: PDGM Prep For Pros, to learn more about what PDGM is, the key changes included in this payment model that could significantly impact your organization, and how you should start preparing today!

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