Home Health Agency Impact of Patient-Driven Groupings Model and PDPM

by admin | Jan 14, 2021 | Home Health Care and Hospice Billing

Home healthcare providers are bracing for the switch to the Patient-Driven Groupings Model (PDGM) in January, 2020. Meanwhile, the switch to the Patient-Driven Payment Model (PDPM) by rehab centers and nursing homes occurred in October, 2019. These are both...

Your Client’s Home Health Resource Group Impact on Medicare Payments

by admin | Jan 10, 2021 | Home Health Care and Hospice Billing

The classification of clients into a Home Health Resource Group (HHRG) is undergoing a change under Medicare’s new Home Health Agency-focused payment model. This new model changes the current case-mix payment system into one expanded to 432 possible case-mix...

Projecting Monthly Cash Flow and Your Home Health Agency

by admin | Jan 5, 2021 | Accounting For Home Health and Hospice

Medicare enrollees are the “bulk” of most Home Health Agency (HHA) client pools. However, the complexity of obtaining reimbursement from the Centers for Medicare and Medicaid Services (CMS) has increased hugely due to one particular payment model change. The...

Home Health Care Billing and the Medicare Plan of Care

by admin | Jan 2, 2021 | Home Health Care and Hospice Billing

No payments can be made by Medicare to a home health care agency for care provided to a client unless a Plan of Care (CMS document 485) for that client was previously submitted. Furthermore, this Centers for Medicare and Medicaid Services (CMS) form must be completed...

Medicare’s Patient Driven Groupings Model (PDGM): Your Dementia Clients

by admin | Dec 29, 2020 | Home Health Care and Hospice Billing

Home health agencies will face a changed Medicare billing landscape in 2020, and a comprehensive management plan for this transition is critical. Implementation of the CMS’ Patient Driven Groupings Model (PDGM) will not only switch the unit of home health care payment...