The Center for Medicare and Medicaid Services (CMS) released its final home health payment rule for Calendar Year (CY) 2023 on October 31, 2022. We’ve outlined the must-know details for home health providers to stay informed.
Learn key discharge planning strategies for effectively managing patient care while meeting the varying LUPA thresholds within each of the two 30-day PDGM payment periods.
Learn the common trends that result in a subsequent 30-day period LUPA, discuss EMR strategies to help effectively manage LUPA billing periods for maximized financial outcomes and determine best practices in developing an effective plan of care to improve patient outcomes.
It’s apparent that home health providers are struggling with efficient visit utilization under PDGM. By leveraging best practice episode management strategies, however, providers can drive efficient visit utilization, deliver high quality care and ensure financial viability.
This summer, CMS unveiled an overhaul to the Medicare payment system – a new home health groupings model (HHGM) to replace the current Home Health Prospective Payment System. In this video, Mike Dordick, EVP, Principal, evaluates key areas...
Clinical documentation plays many roles within healthcare. It validates the patient care provided, supports coding decisions, and facilitates claims processing, billing, and reimbursement. But at its core, clinical documentation works as a narrative in telling the patient’s story – where the patient has been, what they are going through and what the future holds for them.
PDGM began officially in January 2020, and the COVID-19 pandemic exploded on the scene in March, making an already challenging time for home health.
Quality Assurance (QA) audits add support to home health care agency teams and ensure clinical documentation improvement and compliance.
Questionable Encounters are primary diagnosis codes that are not specific enough to support the need for home health services that result in a return to provider (RTP) and ultimately delays in payment.
