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PDGM Clinical Coding Challenges
3 April 2019 - 14:46, by , in Blog, Post Acute, Comments off
In the 2020 Patient-Driven Groupings Model (PDGM) environment, LUPAs will become even more complicated with the introduction of the multifaceted structure of visit requirement variables. Like so many other aspects of PDGM, this change in calculation requires your attention.
PDGM Clinical Coding Challenges
6 March 2019 - 11:58, by , in Blog, Post Acute, Comments off
The Patient-Driven Groupings Model (PDGM) is the most significant change to the home health payment reform in the past two decades.  The impact from PDGM is expected to significantly shift service delivery and will change the structure of home health reimbursements. A key component for calculating payment under PDGM...
16 January 2019 - 17:36, by , in Post Acute, Comments off
The Patient-Driven Groupings Model (PDGM), is the most significant change to the home health payment reform in the past 20 years. PDGM completely alters the methodology for calculating payments, and an example of this is the removal of therapy utilization as a component and the payment periods have been reduced from 60 to 30-days...
15 January 2019 - 13:54, by , in Blog, Post Acute, Comments off
Although the January 1, 2019 implementation date has come and gone, agencies should not lessen their focus on accurate OASIS-D data set collection.  Just like any new process, agencies need to provide support through this OASIS-D learning curve. In addition to developing new assessment practices, clinicians are learning guidance that often conflict between items that assess the same functional activity.