COVID-19 & PDGM: Navigating Challenges and Creating Strategies for Success

OVERVIEW

Providers have only just begun navigating the waters of the new Patient Driven Groupings Model (PDGM) and suddenly find themselves faced with a widespread pandemic impacting care delivery and business operations. The early impacts of the COVID-19 pandemic have created staffing shortages, decreased in-person visits to patients as well as shifted patient referral volume. This webinar will delve into the new challenges presented in this environment, share insight into navigating regulatory changes and their impacts, and explore strategies that providers can leverage under PDGM with the onslaught of the COVID-19 pandemic.

Attendees will walk away with insight to pinpoint opportunities in areas including clinical documentation, clinical operations, referral management, cash flow management and pre-bill audit practices. Attendees will also receive information on the Accelerated and Advance Payments Program by CMS and how it can be leveraged to manage financial impacts resulting from potential delays in claims submission and processing due to COVID-19.

TOPICS

• Challenges COVID-19 has posed for home health providers under the new PDGM reimbursement model
• Regulatory changes providing relief to home health providers during the pandemic
• Strategies providers can leverage to address operational challenges posed by COVID-19

SPEAKERS

Edith Ragland, MBA
Practice Director, McBee

Edith Ragland has significant experience with health care financial management engagements with over 25 years working with home health and hospice agencies, hospitals, SNFs, and physician practices. Edith has been the leader of multi-facet engagements including home health and hospice operational and financial assessments, home health and hospice agency turn-around services, process improvement, interim management, and billing outsource services. With her assistance, clients have achieved marginal goals, stabilized and improved processes.

Dawn Cheek, RN, BSN
Director, Clinical Consulting, McBee

Dawn Cheek is a Clinical Consulting Director at McBee. She is involved with home health, hospice, and hospital engagements and has been a healthcare consultant for 13 years. She has performed Medicare compliance reviews and related chart reviews for home health agencies, hospices, and hospitals. For home health, she provides extensive knowledge of clinical operations, ADR/Denials appeal services, and home care and hospice documentation regulations. Her nursing background, coupled with her leadership experience, allows her to effectively monitor operational processes and agency compliance.

Carissa McKenna, RN, BSN, COS-C, HCS-D
Senior Clinical Consulting Manager, McBee

Carissa McKenna is a Senior Clinical Consulting Manager at McBee with more than 21 years of experience in the health care industry. In her role at McBee, she has been involved in many aspects of client fulfillment, including OASIS and coding, episode management and on-site education. While working with providers, Carissa has developed and implemented several clinical workflows, as well as documentation and quality assurance tools. Carissa currently manages several clients in episode management engagements, helping them to improve adherence to the established plan of care to ensure positive clinical, financial and operational outcomes.