The Home Health Guide to PDGM, Third Edition

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Table of Contents

Ensure your agency not only survives but thrives in the Patient-Driven Groupings Model (PDGM) with The Home Health Guide to PDGM, Third Edition. This guide takes the mystery out of PDGM by outlining the proper legal and financial steps to take to adapt — and what actions agencies should avoid. Additionally, learn how to properly manage costs and improve operational efficiencies while ensuring patients continue to receive high-quality care. The guide also details how agencies can determine how much they will be paid in PDGM.

The Home Health Guide to PDGM, Third Edition, also offers guidance on how to fully and accurately code in PDGM — ensuring you understand codes that are no longer accepted as primary diagnoses under PDGM and that your agency is paid accurately for care provided during 30-day payment periods. The guide also will provide tips on filling out the OASIS items that affect functional case-mix adjustment.

Additionally, The Home Health Guide to PDGM, Third Edition, will supply agencies with a detailed explanation of how the payment model works.

Exclusive Features:

• Breakdown of how PDGM works, including admission source, timing, clinical groupings, functional impairment levels and comorbidities.
• Guidance on proper steps to take to adapt and succeed in  PDGM — and what agencies should avoid doing because it’s too risky from a legal or financial perspective.
• Examination of how agencies can improve the level of detail they gather at intake and what questions should be asked that currently aren’t.
• How to refine therapy best practices in PDGM
• Early trends related to LUPAs and how to avoid unnecessary ones
• Coding practices in PDGM and lessons learned including a breakdown of how coding works in PDGM, including what primary diagnoses are no longer acceptable.
• Patient-specific scenarios that help explain how agencies will be paid under PDGM
• Exclusive tools including checklists to help agencies bill accurately
• Details about how agencies can become more efficient in the provision of care.
• Process improvements agencies should make to their billing departments.

Published: December 2021

Pages: 160
ISBN: 978-1-64535-152-8