Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology.

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Submitting Request for Records to Medicare Picture

Submitting Request for Records to Medicare

More than 47% of denials by PalmettoGBA for the period of 10/2017-12/2018 were related to...... Read More...

Using Critical Thinking to create the patient plan of care.

The worst disservice a clinician can do their patient and employer is not to use critical thinking when developing, implementing, revising the patient's Plan of Care, see "Using "Critical Thinking" during clinical practice..."

Encouraging Physicians to Properly Complete Face to Face Encounters

Physicians may find themselves being denied payment by CMS for Case Management overseen fees and office visits due to poor documentation in their patient\\\'s medical record.

CMS Moratorium Extended!

CMS Moratorium extended! in the following geographical areas...

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology.

Have you downloaded the CMS PDGM Excel file from the CMS Home Health Agency Center?

December 31, 2019

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology. Picture

The impact of the implementation of PDGM can be minimize by Home Health Agencies being proactive in assessing the Agency Referral, Admission and Billing practices.

Follow this link to CMS Home Health Agency Center to view CMS P"Patient-Diven Grouping Model (PDGM) Grouping Tool" document: Click Here

From CMS COVID-19 Coding! The Center for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) has implemented two new ICD-10-CM diagnosis codes, effective April 1, 2020: In response to the national emergency that was declared concerning the COVID-19 outbreak, NCHS is implementing a new diagnosis code, U07.1, COVID-19, into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and; In response to recent occurrences of vaping related disorders, the NCHS is implementing a new diagnosis code, U07.0, Vaping-related disorder, into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), for reporting vaping-related disorders. Click Here

Revised 4/2020