The Home Health Guide to PDGM

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The Home Health Guide to PDGM

Product Code: HHGPDGM

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The Home Health Guide to PDGM

Prepare your agency for the Patient-Driven Groupings Model (PDGM) with DecisionHealth’s newest resource, The Home Health Guide to PDGM. 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 during this challenging time. The guide also details how agencies can determine how much they will be paid when the new payment model launches on or after Jan. 1, 2020.

The Home Health Guide to PDGM also will offer guidance on fully, accurately coding — ensuring you understand codes that will no longer be 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 will supply agencies with a history of how PDGM came to be and detail how the payment model will work, which will provide context on the changes being put in place to make transitioning easier for your entire staff.

Exclusive Features:

  • Patient-specific scenarios that help explain the difference in how agencies will be paid under PDGM vs. the PPS.
  • Exclusive tools including checklists to help agencies prepare.
  • Breakdown of how PDGM will work, including admission source, timing, clinical groupings, functional impairment levels and comorbidities.
  • Guidance on proper steps to take to adapt to PDGM — and what agencies should avoid doing because it’s too risky from a legal or financial perspective.
  • Review of how RAPs and LUPAs will change from the PPS to PDGM.
  • Examination of how agencies can improve the level of detail they gather at intake and what questions should be asked that currently aren’t.
  • Explanation about how nurses and therapists can improve the accuracy and detail of documentation they provide.
  • Details about how agencies can become more efficient in the provision of care.
  • Breakdown of how coding will change under PDGM, including what primary diagnoses won’t be acceptable under the new payment model.
  • Process improvements agencies should make to their billing departments.

Published: September 2019

Page count: 184
Dimensions: 8.5” X 11” perfect bound 
ISBN: 978-1-68308-975-9

About the Author

Nick Seabrook is managing principal of BlackTree Healthcare Consulting in Conshohocken, PA. Seabrook’s operations expertise has helped agencies improve profitability and reimbursement. Specifically, he has provided extensive revenue cycle consulting throughout his career, focused on improving daily operations of many providers. Seabrook, who holds a Bachelor’s from Villanova University in Accounting, has worked with agencies of all sizes throughout the country. In addition to traditional revenue cycle consulting, he has served as an interim director of patient accounts, interim finance manager and interim chief financial officer.