Is your home care agency prepared for PDGM? This webinar series will ensure your staff is up-to-date on the latest regulatory reimbursement requirements. A comprehensive overview of the PDGM will build the foundation to successfully transition your agency through coding and clinical management changes.

The Patient-Driven Groupings Model (PDGM) is the most comprehensive change to the home care regulatory reimbursement requirements since October 2000, with the introduction of the current Prospective Payment System (PPS). The new payment model, effective January 1, 2020, has huge implications for operational, clinical, and financial processes and performance. This series will review the impact of the PDGM including:

• Elements of the payment model
• Effect of the 30-day payment period on the billing
• Importance of accurate coding on establishing the HHRG
• Significance of OASIS accuracy
• How a solid clinical management program is essential to ensure patients are receiving appropriate, cost-effective quality care

This program will assist agencies with understanding the changes, developing strategies, and implementing processes for a successful transition into PDGM.

PDGM Series Topics

• PDGM Part 1 - Overview
• PDGM Part 2 - Coding
• PDGM Part 3 – Clinical Episode Management

PDGM Part 1 - Overview

The Patient-Driven Groupings Model (PDGM) will go into effect on January 1, 2020, for home health agencies. This is the most substantial change to the home care industry reimbursement structure since the introduction of the current Prospective Payment System (PPS) in October 2000. The new payment model dramatically impacts agency operations, processes, and performance. Agencies must develop and implement plans to successfully transition to PDGM. This session will provide a PDGM overview, plan elements, key areas, strategies, and processes to prepare for PDGM.

PDGM Part 2 - Coding

Understanding the impact of Diagnosis Coding is crucial to an agency's success under PDGM. In this session, examine the Clinical Groupings – what is allowed as a Primary Diagnosis, and the importance of accurately capturing comorbidities under PDGM coding. Discuss the OASIS ADL assessment items, and how case management is key. This webinar will also review what agencies will require for patient referrals, and how to educate referral sources, physicians and clinicians.

PDGM Part 3 - Clinical Episode Management

A strong clinical management program is crucial to ensure efficient, cost-effective, and uncompromised quality care delivery under PDGM. Effective clinical management is dependent upon the interdisciplinary team working together in a collaborative manner. Communication is key! This session will identify, define, and develop a clinical management program that meets individual patient needs while increasing patient outcomes.