Efficient and high-quality care delivery is more important than ever with the implementation of PDGM. Providers must now manage shorter 30-day payment periods, contend with unique LUPA thresholds based on case-mix group assignment, and adjust to the removal of therapy thresholds as a payment driver.
PDGM introduces complex challenges and heightens the importance of efficient discipline utilization while maintaining quality care outcomes. The role that the clinical manager plays in this care management process can make or break success under the new model.
The patient’s functional level is one of five categories affecting payment in the Patient-Driven Groupings Model (PDGM), making the role of the clinician critical for OASIS scoring in determining the functional impairment level. This webinar will discuss OASIS data collection as it relates to the 30-day payment period and case-mix calculation.
Understanding what your revenue cycle metrics are telling you about your operations is crucial to running a streamlined home health agency. This webinar will detail the core Key Performance Indicators (KPIs) used in the home health industry and help you better understand what these metrics are telling you about your operations currently and under PDGM.
PDGM is the most significant change for diagnosis coding since the implementation of ICD-10. A key component for calculating payment under PDGM will be clinical group assignment and comorbidity adjustment, thus making accurate ICD-10 coding more important than ever.
This webinar provides an overview of the core elements of the PDGM rule and the key clinical and operational concepts that make up an effective episode management program under the new model. Listen to this webinar to identify episode management strategies within key segments of a patient’s episode and learn the heightened importance of efficient patient visit/clinical discipline utilization.
Revenue cycle effectiveness is essential to the financial success of long-term care organizations. This session details the pre-admission process, the benefits of implementing an efficient data flow, as well as the importance of the clinical team developing resident-centered plans of care and providing the supporting clinical documentation necessary.
It is vital to your success in PDGM that you have an outcomes-driven program for managing your patients’ episodes, especially your wound care patients. During this session, our presenters take a deeper look at the wound clinical grouping and share strategies for building an effective Wound Care Program to drive positive clinical and financial outcomes