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31 May 2019 - 11:25, by , in Blog, Post Acute, Comments off
For home health organizations, referral and intake directly impact an agencies core operations and ability to provide appropriate care and bill in a timely manner. PDGM adds a new layer of complexity to this process by introducing the 30-day billing periods and admission source.
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.
cash flow maintenance
2 October 2019 - 11:56, by , in Blog, Post Acute, Comments off
Learn the three strategies for preventing a loss or delay in cash flow due to the significant changes under PDGM.
cash flow maintenance
6 September 2019 - 9:47, by , in Blog, Post Acute, Comments off
With all the complexities PDGM brings, it poses a threat to home health budgets everywhere. Many understand that PDGM will have a significant financial impact on their organization — however, it is quite overwhelming to think about how to prepare.
9 July 2019 - 16:24, by , in Blog, Post Acute, Comments off
Home health organizations depend on their staff and tracking systems for a quick and efficient order management process. Order management is a key component within the revenue cycle process, as the collection of physician documentation is required to initiate any billing process. A bill cannot be generated without first obtaining all necessary orders.
29 August 2019 - 10:24, by , in Blog, Post Acute, Comments off
Last October, Palmetto, one of the nation’s largest Medicare Administrative Contractors to the federal government, released their Electronic Comparative Billing Report (eCBR) for 2018 data between April 1 – September 30 that focused on hospice providers’ Non-Cancer Length of Stay (NCLOS) rates.
25 April 2019 - 13:37, by , in Blog, Post Acute, Comments off
Last October, Palmetto, one of the nation’s largest Medicare Administrative Contractors to the federal government, released their Electronic Comparative Billing Report (eCBR) for 2018 data between April 1 – September 30 that focused on hospice providers’ Non-Cancer Length of Stay (NCLOS) rates.
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 Compliance Risk Areas
28 March 2019 - 10:16, by , in Blog, Compliance, Comments off
When health care providers repeatedly fail to reach compliance with the Office of the Inspector General’s (OIG) guidelines, the OIG will issue them a Corporate Integrity Agreement (CIA). Under the CIA process, organizations enter into a mandatory agreement to improve their practices over a five-year time frame with outlined compliance guidelines set forth by the OIG.
11 March 2019 - 14:43, by , in Acute, Blog, Comments off
The health care industry has experienced significant change in the past decade. The pace of change is breathtaking! Organizations have grown and consolidated by acquiring hospitals, service lines and physician groups. Many organizations are now faced with the burden of standardizing their operations.