Outsourcing Coding and Billing: Key to PDGM Success?
The upcoming Patient-Driven Groupings Model (PDGM), scheduled to take effect on January 1, 2020, will drastically alter the way home health organizations of all sizes manage operations. Among the several reasons is CMS's decision to anticipate that providers will change behaviors in order to keep payments high and cut payments 6.42 percent in order to mitigate that assumed behavior. If providers do not change behaviors to boost payments, they stand to lose that 6.42%, or more than $1 billion across the industry, once PDGM takes effect.
