Many agencies are facing the biggest change in reimbursement since 2000 with the implementation of PDGM. The Patient Driven Grouping Model (PDGM) launches on or after January 2020 and will impact every department of the home health agency. The billing cycle will be changing to every 30 days, there is an elimination of the therapy threshold and a higher impact from your coding and OASIS documentation.
Agencies need to have a working plan to assess agency’s current status and start implementing changes to be ready for 2020. In this webinar we will take you step by step through the new PDGM reimbursement model with real life scenario examples. Next we will explore how to perform a gap analysis within each department, identifying the key performance indicators that you need to be tracking. We will identifying best practices that can be implemented to address the items found in your gap analysis. Lastly we will identify the impact on referral sources.
- Identify the steps in PDGM
- Describe how PDGM will affect the home health industry beginning in 2020
- Detail how the roles of clinical managers and case managers should change as a result of PDGM
- Identify changes to the intake department process under PDGM
- Identify changes to the utilization of Coding and OASIS in PDGM
- Identify changes to the clinical department under PDGM
- Identify changes to the billing department under PDGM
- Identify the education needs of your referral sources and marketing team
- Learn how to perform gap analysis on agency operations
- Know Key Performance Indicators
- Identify best practices for each department impacted by PDGM
Areas Covered in the Session:
- Overview of PDGM
- How the clinical grouping is identified using primary diagnosis
- The changes of timing and referral source under PDGM
- OASIS questions that impact the functional scoring
- How comorbidity add on is determined
- 3 real life scenarios under PDGM
- Example of gap analysis for each department (intake, clinical, operations, billing)
- Key performance indicators for each department
- Best practices for each department
- Education needs for referral sources
Who Should Attend:
- Clinical Manager
- Home Health Billers
- Clinicians (RN and PTs)
- Director of Nursing
- Compliance Officers
- Post Acute providers that refer to home health (physician practice, assisted livings, long term care)
- Acute Care providers
About the Presenter:
Diane Link is a RN with over 25 years of home health and hospice experience. She is currently owner of Link Healthcare Advantage, providing home health and hospice consulting services including operation assessments, survey readiness, regulatory and compliance programs, outsource QAPI program and outcome improvements.
Her experience includes a variety of roles in home health and hospice from field nurse to executive director. She has experience as a surveyor for home health, hospice and private duty services for CHAP (Community Health Accreditation Partners). She has been providing consulting services for over five years as a director of clinical consulting at a large consulting company and now as owner of her own agency. She is known for her passionate innovative presentations at state and national conferences along with her insightful webinars.
You will receive an email with login information and handouts (presentation slides) that you can print and share to all participants at your location.
Operating System: Windows any version preferably above Windows Vista & Mac any version above OS X 10.6
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to talk and hear clearly
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