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2020 Medicare Home Health PPS Proposed Rule

This home health proposed rule’s 346 pages (reduced from last year’s 600) were published on July 18. Comments will be accepted from now until September 9, 2019. You can submit your comment by clicking on the “Submit a formal comment” link near the top of the article. You can also send your comments by regular

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

2019 Home Health Final Rule

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

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