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Strengthen Clinical and Billing Processes for Review Choice Demonstration

Categories: Blog, Home Health|Tags: , |

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

Categories: Blog, Health System, Hospital|Tags: , |

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.


Making your EMR Implementation a True Success

Home Health Key Risk Factors for Merger & Acquisition Transactions

Building an Effective SNF Admissions Process


OASIS in a PDGM World – The Clinical Perspective

Categories: Webinars|Tags: |

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

Categories: Webinars|Tags: |

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

Interim Management Leadership Restores Agency’s Compliance After Failed ZPIC Audits

Categories: Case Studies, Home Health|Tags: , , , |

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...


Soaring to Success Under PDGM

Categories: Downloads, Insights|

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.