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Home Health Reimbursement: PDGM & Beyond Virtual WorkshopOctober 28, 2020 | 9:00am4:00pm This workshop will take agencies through the current state of PDGM and move through all the aspects of home

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How to fill out home health patient-driven groupings

01

Make sure to gather all the necessary information about the patient's condition and needs.

02

Assess the patient's functional abilities, including their ability to perform activities of daily living.

03

Determine the appropriate case mix group based on the patient's clinical characteristics.

04

Complete the required documentation for each patient-driven grouping.

Who needs home health patient-driven groupings?

01

Patients who require home health care services and support.

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What is home health patient-driven groupings?

Home health patient-driven groupings (PDGM) is a payment model used in home health care that focuses on patient characteristics and needs rather than the volume of services provided. It categorizes patients into different groups based on clinical and demographic information to determine reimbursement rates.

Who is required to file home health patient-driven groupings?

Home health agencies that provide care under Medicare are required to file home health patient-driven groupings for their patients to receive appropriate reimbursements.

How to fill out home health patient-driven groupings?

To fill out home health patient-driven groupings, agencies must gather patient assessment information, including clinical diagnoses, functional status, and service needs, using the OASIS assessment tool to accurately categorize patients and determine the payment group.

What is the purpose of home health patient-driven groupings?

The purpose of home health patient-driven groupings is to improve patient care by ensuring that reimbursement is aligned with the actual needs of the patient, promoting more efficient resource use, and enhancing the quality of care.

What information must be reported on home health patient-driven groupings?

Agencies must report patient assessment data including clinical characteristics, functional abilities, and how these impact the patient's care needs. This includes details from the OASIS assessment, diagnoses, and therapy requirements.

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