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...

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...

Multiple Sclerosis and Autoimmune Disorders – Impact of Medicare’s PDGM

by admin | Dec 23, 2020 | Home Health Care and Hospice Billing

Your home healthcare clients with specific diagnoses may become Medicare beneficiaries at a younger age than 65. If you have a client with Multiple Sclerosis (MS) or another neurodegenerative disorder, the Social Security Administration’s approval for receipt of...