What is PDGM?

In the past 20+ years therapies were the basis of payment for care to home health agencies. As you know, on January 1st 2020, this is going to change with the new PDGM (Payment Driven Grouping Model). Below is a good resource offering an overview of PDGM. Some thoughts to consider;

1.The use of proper (and multiple treatment) diagnoses will become more imperative.

2. An accurate functional impairment assessment is a part of determining payment by CMS.

3. An evidence based approach will be more important than ever to justify (prolonged) treatments and will help us to remain true professional advocates for our patients’ health and well being.

Here’s the link to the resource referred to above; https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/Downloads/Overview-of-the-Patient-Driven-Groupings-Model.pdf

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