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What is MIPS?

The Merit-based Incentive Payment System (MIPS) is a Quality Payment Program (QPP) developed by CMS to get providers to focus on performance improvement by paying bonuses to providers who perform well in certain measures. There are four domains that clinicians report on with each accounting for a percentage of your overall score: Quality, Improvement Activities,

Home Health Review Choice Demonstration

The Review Choice Demonstration (RCD) is a home health review program. It is planned for a 5-year period with initial implementation in Illinois scheduled for June 1, 2019 and expansion into Ohio, North Carolina, Florida and Texas soon after. This program is a continuation of CMS’s efforts to crack down on fraud, waste and abuse

PDGM Explained

The Patient-Driven Groupings Model (PDGM) is an alternative payment model that will replace the home health Prospective Payment System (PPS). The planned implementation date is January 1, 2020. Why the change? The Bipartisan Budget Act of 2018 (BiBA) requires reform of the current payment model to address several perceived problems in the PPS home health

NAHC PDGM Meeting March 5, 2019 in Chicago

As NAHC puts it, the “Patient-Driven Groupings Model (PDGM) was created by the Centers for Medicare and Medicaid Services and is slated to debut on January 1, 2020. PDGM will revolutionize the payment methodology for all Medicare Home Health Agencies (HHAs) in the United States.” We attended the PDGM summit in Chicago organized by NAHC

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