PDGM: Patient-Centered Care Plans and Effective Utilization Management

OVERVIEW

Efficient and high-quality care delivery is more important than ever with the implementation of PDGM. Providers must now manage shorter 30-day payment periods, contend with unique LUPA thresholds based on case-mix group assignment, and adjust to the removal of therapy thresholds as a payment driver. Navigating these regulations all while continuing to provide exceptional patient care in order to maintain high star ratings in both quality and patient experience is key. This webinar will focus on the connections between patient-driven care and utilization. You will learn more about the development of quality care plans, interdisciplinary care coordination and appropriate utilization management, including strategies for managing therapy utilization under the new model.

SPEAKER

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.

Pamela Mitchell, PT, COS-C, HCS-D
Team Leader, OASIS & Coding, McBee

Pamela Mitchell is a Team Leader at McBee with more than 28 years of experience as a physical therapist and 27 years in the home health industry. She has worked previously as a home health physical therapist and also a home health agency administrator. She is certified in ICD-10 coding (HCCS-D) and as an OASIS specialist (COS-C). She provides clients educational sessions on OASIS accuracy and therapy utilization.