Is your agency ready for PGDM?

New York -- January 06, 2020

Are you ready for PGDM


For many, January brings in new starts and new year’s resolutions. For home health agencies (HHAs), Jan. 1, 2020 marks the start of the Centers for Medicare and Medicaid (CMS) implementation of the Patient-Driven Groupings Model (PDGM) which aims to improve “payment categories and eliminates the use of therapy service thresholds.”

The previous system, the health care Prospective Payment System (PPS) ended on Dec. 31, 2019. If your agency is worried by these changes, don’t worry Carecenta can work with home health agencies (HHAs) of all sizes with the new reimbursement system, which also includes changes to OASIS coding as well. 

To learn how Carecenta can help home healthcare providers comply with PGDM schedule a demo by 
clicking here

Already have a billing person or department? Even better, we can work with your team to provide a smoother workflow and comply with changes brought by the new PGDM payment methodology. 

What is changing with PGDM? For starters, there is an 182 percent increase of possible payment combinations from 153 (PPS) to 432 (PGDM). 

From a revenue perspective, the CMS projects that PGDM will affect how funds will be redistributed, revenue will increase for HHAs that provide more therapy versus HHAs that provide more nursing.

CMS projects PGDM payments will affect HHAs differently


Category

Change %

Non-Profit Agencies

+ 2.9%

Facility Based HHAs

+ 3.9%

HHAs Urban areas

- 0.6%

HHAs Rural areas

+ 4%

HHAs (> 100 episodes per year)

+ 1.9 %

Large HHAs ( < 1,000 episodes per year)

- 0.2 %

 

Source: 

http://medpac.gov/docs/default-source/reports/mar19_medpac_entirereport_sec.pdf?sfvrsn=0

About Us: 
Since 2013, Carecenta has been the premiere Management Software for Medical & Non-Medical Home Care, Adult Day Care, Nursing & Home Infusion organizations. The platform provides the next generation in robust workflow and financial solutions for agencies of all sizes.

The supercharged SaaS system offers management of patient intake, scheduling, referrals, caregivers, and provides electronic visit verification (EVV), multilingual #800 telephony GPS; secure SMS, electronic billing, remittance, payroll, and reporting.

For more information: 
www.carecenta.com

To schedule a demo: 
Click here

2020. Carecenta.

 

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