The complexities introduced by the Patient-Driven Groupings Model (PDGM) require home health agencies to revisit and refine their strategies for LUPA management. Strategic foresight becomes essential in a landscape where every visit counts and margins are tight. Here are key strategies that can guide agencies toward success in this challenging environment: Precision in Clinical Assessment: [...]
As healthcare regulations are constantly evolving, staying compliant is not just a best practice but a necessity. The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services recently released its most comprehensive compliance program guidance (CPG) in 25 years, aimed at providing clarity and direction for hospitals and healthcare organizations navigating [...]
Due to the success of the Probe and Educate pilot from June 2016 to July 2017, CMS has announced that it will expand the initiative to all Medicare providers...
