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Blog
The Importance of Your Home Health Quality Scores in Discharge Planning
CMS’s new discharge planning final rules requires that home health agency data be provided to the patient at the time of their discharge.
Strengthen Clinical and Billing Processes for Review Choice Demonstration
The Center for Medicaid and Medicare Services (CMS) Review Choice Demonstration (RCD) is a review of home health agency documentation to ensure the beneficiary meets requirements of the home health coverage criteria.
Value-Based Care and Bundled Payments: What Health Systems and Payers Should Be Doing Now
The healthcare industry has faced numerous challenges in finding effective ways to achieve the triple aim through improving the patient experience, improving health of communities and reducing healthcare costs, and implementing innovative payment strategies is essential in achieving those goals.
Videos
Webinars
Clinical Leadership Development and Care Coordination Under PDGM
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.
OASIS in a PDGM World – The Clinical Perspective
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.
Check Your Gauges! Leverage Revenue Cycle KPIs for Operational Success Today and Under PDGM
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.
Case Studies
Skilled Nursing Billing Outsource Solution Increases Provider’s Cash Collection by 17%, Reduces Billing Errors by 80%
As the saying goes: “Cash is King”. Maintaining a steady cash flow is one of the pervasive issues that affects many health care providers, especially in a time when economies of scale are rapidly transforming the landscape of health care.
Home Health Provider Prepares for PDGM; Reduces LUPA by 40% through Episode Management
The home care provider was experiencing a high LUPA rates that consistently exceeded 15%. A staffing shortage, particularly with nurses, combined with communication challenges throughout made it difficult to achieve positive patient outcomes.
Interim Management Leadership Restores Agency’s Compliance After Failed ZPIC Audits
The health system was unable to successfully fill several key leadership roles within their home care agency after a loss of leadership. Eleven critical positions were vacant within the clinical, quality assurance, and finance departments. As a result, leadership, strategy, quality performance, and compliance profoundly suffered...
Downloads
Soaring to Success Under PDGM
The complexity of the Patient-Driven Groupings Model (PDGM) and its far-reaching effects requires leadership to conduct significant planning to ensure that there are sustainable strategies in place prior to take off in 2020. This PDGM ebook, “Soaring to Success Under PDGM“, contains components of a successful “PDGM Pre-Flight Checklist” to help organizations begin to prepare for the upcoming changes.
