Patient Driven Groupings Model (PDGM) Prep Class

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Ultimate Training Series Presents: Patient Driven Groupings Model (PDGM) Prep Class

Product Code: PDGM


1st Attendee $799.00*
Additional Attendee(s)
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$799.00
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Ultimate Training Series Presents: Patient Driven Groupings Model (PDGM) Prep Class

Course Overview

When it takes effect next year, the Patient-Driven Groupings Model (PDGM) from the Centers for Medicare & Medicaid Services (CMS) will have a major impact on the operations and billing processes of home health agencies. It’s critical that providers prepare for 2020. Get a comprehensive overview of the latest changes with this intensive two-day course presented by expert J’non Griffin. You’ll learn not only the difference between payment models, but also how they relate to coding, billing and OASIS.

DecisionHealth Ultimate Coding & OASIS Training
Also see our DecisionHealth Ultimate Coding & OASIS Training Series as it is a similar class through our sister company, and we have training every spring and fall.

For more detailed information about this boot camp, contact customer service at 800-650-6787 or email customer@simplifycompliance.com.

Patient Driven Groupings Model (PDGM) Prep Class

Course Locations & Dates

Below is the current course schedule for upcoming classes of this Medicare Boot Camp. We update this schedule on a regular basis. 

Registrations are processed in the order received. Class size is limited, and classes often sell out. We recommend against making travel arrangements until after we have confirmed your course registration.

To register for a class, click the "Register" button. If you would like to register multiple attendees, fill in the "Additional Attendees" box.
For larger groups, contact Customer Service at (800) 650-6787 to inquire about group rates. 

To view our cancellation policy, click here.


December 2019


Las Vegas, NV

 

December 9 – 10, 2019
8:30AM – 5:00PM (Day 1)
8:30AM – 1:00PM (Day 2)

Bally's Las Vegas
3645 Las Vegas Boulevard South
Las Vegas, NV 89109
877-603-4389
Hotel website


Room Rate: $35/night + $35 daily resort fee
Room Rate Cut-Off: November 17, 2019

 


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Patient Driven Groupings Model (PDGM) Prep Class

Course Outline/Agenda

Day 1

8:00 a.m. – 8:30 a.m.
Registration/Continental Breakfast

8:30 a.m. – 10:00 a.m.
PPS vs PDGM—1.5 hours
Discussion of the major differences between the 2 payment models and how to make sure you are prepared for the shift.

10:00 a.m. – 10:15 a.m.
Networking Break

10:15 a.m. – 11:45 a.m.
Operations and Finances—1.5 hours
Discover ways to align agency operations under the new payment model. We will discuss proper revenue cycle management and how to get paid in a timely manner, and key performance indicators to monitor. We will discuss billing for the claim in a 2nd 30 day payment period when the patient status may have changed.

11:45 a.m. – 12:15 p.m.
Lunch

12:15 p.m. – 1:45 p.m.
Clinical Operations under PDGM—1.5 hours
Discussion of ways to ensure clinical operations are efficient and at the same time, outcomes do not suffer. Discover how to share resources and ideas to cover care without incurring costs.

1:45 p.m. – 2:45 p.m.
OASIS under PDGM—1 hour
Look at OASIS items that contribute to the functional payment score, and discover how slight variations will make a difference.

2:45 p.m. – 3:00 p.m.
Networking Break

3:00 p.m. – 4:00 p.m.
Coding under PDGM—1 hour
Discuss the principle groupings, the type of patients are included in these groupings, and the cost of taking care of these patients vs the reimbursement. We will discuss supply utilization, along with the variations that go along with each clinical grouping. We will also discuss comorbidity subgroups and how certain items will trigger an adjustment in your HHRG, and also may affect your LUPA thresholds. We will discuss the importance of having the documentation to validate that.

4:00 p.m. – 5:00 p.m.
Defensible Documentation under PDGM—1 hour
The expectation is that ADRs will increase in light of the new payment model. Discuss how you should have defensible documentation to justify not only your utilization, but also your selection of diagnosis.

 

Day 2

8:00 a.m. – 8:30 a.m.
Continental Breakfast

8:30 a.m. – 11:00 a.m.
Coding and OASIS Deep Dive under PDGM—2.5 hours
We will work cases that will show how  cases in clinical groups may score out under the PDGM model. This will be a great opportunity for coding and QA staff to work through cases to see the importance of accurate assessment and documentation to maximize your reimbursement under PDGM.

11:00 a.m. – 11:15 a.m.
Networking Break

11:15 a.m. – 12:15 p.m.
Billing and Coding Overview—1 hour
How will you handle the increased workload…we will discuss options your agency may consider including cross training, hiring additional staff, or outsourcing.

12:15 p.m.
Adjourn

Patient Driven Groupings Model (PDGM) Prep Class

Your Presenters

J'non GriffinJ'non Griffin
RN MHA, WCC, HCS-D, HCS-H, COS-C
AHIMA Approved ICD-10-CM Trainer/Ambassador, President of Home Health Solutions, LLC

Griffin offers home health consulting on many topics including quality assurance and performance improvement, program development, coding and OASIS review, staff education and plan of care compilation. Griffin has experience as a field nurse, director and executive with home health and hospice agencies.