Understanding PDGM Billing and Coding Changes: How Outsourcing Can Be the Solution
Big changes are on the horizon for home health agencies (HHA) in 2020. Patient-Driven Grouping Models, or PDGM, goes into effect beginning on January 1, 2020, radically changing the ways in which HHAs are reimbursed for services for Medicare beneficiaries. PDGM is an effort by the Centers for Medicare & Medicaid Services (CMS) to reduce the […]
The Review Choice Demonstration Program
The Review Choice Demonstration (RCD) program was established in 2017 in response to changes from stakeholder responses in the Home Health Services. The Centers for Medicare & Medicaid Services (CMS) paused the Pre-Claim Review Demonstration which was the program for the Home Health Services. The CMS announced its decision to implement the RCD review program […]
Patient-Driven Grouping Model
If you are a Home Health Agency (HHA), you must be aware of the new change that is coming your way in a few months – Patient-driven grouping model (PDGM).
Medicare Advantage
Home health care is changing frequently due to the use of Medicare in payment of services. It is not just the traditional Medicare, rather the new one often referred to as Medicare Advantage (MA). MA is being incorporated into care offered to chronically ill clients. In addition, Medicare is set to offer supplemental services that are not health-related.
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