CGS to host Patient-Driven Groupings Model (PDGM) check-up webinar

CGS (A Celerian Group Company) is hosting a webinar Wednesday, April 15 from 1 to 2 p.m. on how PDGM is going for agencies, and they want to hear from you. During the webinar, they will talk about what they’ve seen as a Medicare Administrative Contractor (MAC) and what their providers are seeing with PDGM. Pre-submitted […]

As Review Choice begins in Texas, agencies should keep best practices in mind

With the Review Choice Demonstration just getting started in Texas and poised to begin in the remaining two demonstration states in May, agencies nationwide should keep an eye on successes and best practices. About 26% of agencies identified the Review Choice Demonstration as the regulatory requirement expected to have the biggest impact on agency operations […]

Survey identifies PDGM and staffing as biggest challenges agencies face in 2020

A survey conducted by Axxess and home healthcare consulting firm BKD listed PDGM and staffing as the biggest challenges organizations will face in 2020. About 43% of respondents chose adapting to regulatory changes (e.g. PDGM, RCD, etc.) as the biggest challenge, while 29% said staffing would be the biggest challenge. This is consistent with HHL‘s […]

Change request outlining PDGM implementation corrected

CMS has again released a change request outlining the Patient-Driven Groupings Model (PDGM) split implementation, this time to include correct RAP percentages for 2020. On Dec. 20, CMS first reissued change request 11081 to reflect issues that were identified and resolved ahead of PDGM implementation. That update, however, mistakenly included the incorrect RAP percentages for […]

CMS’ January release of quarterly OASIS Q&As offer guidance on PDGM, function items

The latest release of CMS OASIS quarterly Q&As delves into issues around the Patient-Driven Groupings Model (PDGM) as well as M items capturing activities of daily living (ADLs) and GG items capturing mobility and self-care. The January 2020 Q&As — published to the CMS website Jan. 21 — include 20 questions and responses on a range of topics. PDGM […]

CMS releases updated FAQs on the Review Choice Demonstration

CMS has released an updated operational guide and frequently asked questions (FAQs) on the home health Review Choice Demonstration. The FAQs were updated Jan. 6 and include new questions related to the Patient-Driven Groupings Model (PDGM) which took effect Jan. 1. In one of these FAQs, CMS explains that agencies should not use the same Unique […]

CMS releases OASIS considerations for Medicare PDGM patients

CMS released a document outlining OASIS considerations for Medicare PDGM patients Dec. 4, less than a month before the new payment model is scheduled to take effect. The document details transition guidance around OASIS time point, data set version and M0090 (Date assessment completed) for patients that will need a HIPPS code for a payment […]

CMS to hold home health, hospice open door forum

CMS will hold its next home health, hospice and durable medical equipment open door forum at 2 p.m. EST on Nov. 6. Topics will include the home health payment rule and the review choice demonstration as well as a home health billing update related to the Patient-Driven Groupings Model (PDGM). View the agenda at https://go.cms.gov/1TlLRb4.