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 …
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 …
In July, we wrote about the 2019 Home Health Proposed Rule. The final rule for 2019 was published November 1, 2018. There were some changes in response to comments received so we’ll go over the highlights here. Home Health Prospective Payment System (HH PPS) Updates The good news is that CMS is projecting a 2.2 …
As part of the 2019 Home Health Proposed Rule, CMS published several documents to help home health agencies understand what they are calling PDGM. We all know about the fondness the folks at CMS have for acronyms. This one stands for Patient Driven Groupings Model. One of the published documents, called “PDGM Agency-Level Impacts, Estimated …
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