Friday, November 08 | Legislative/Policy, Post-Acute Care, EHR Solutions and Operations, Partnerships and Collaboration
CMS Finalizes Home Health Payment Rule
By Netsmart
The Centers for Medicare & Medicaid Services (CMS) finalized the much anticipated Home Health Final Rule October 31. This rule finalized changes for the Patient-Driven Groupings Model (PDGM) that will go into effect on January 1, 2020.
The good news is that, overall, CMS’s final rule for 2020 increases Medicare payments by an estimated 1.3% — or about $250 million.
But perhaps the biggest news for U.S. home health providers is a major update to PDGM’s widely opposed and controversial behavioral adjustment. In the Final Rule, CMS lowered the behavioral adjustment from 8.01% to 4.36%, which is “a big win for home health” says Mike Dordick, McBee President.
Read the McBee summary of the 2020 Medicare Final Rule for home health agencies.
Netsmart and McBee will continue to advocate for the home health industry. Our goal is to prepare our clients for PDGM and help our industry succeed.
You should start preparing for PDGM now. Ensure you have strong co-morbidity and diagnosis coding in place.
To learn about what you need to succeed under PDGM, visit our PDGM resource page here.
Meet the Author
Netsmart
·
Communities
From the CareThreads Blog
The IDD Summit Part 3: Expert Panel on Workforce Satisfaction
Friday, April 26 | Human Services,Partnerships and Collaboration,Thought Leadership
Workforce Management is a critical issue facing IDD organizations. At our last IDD Summit, we invited an expert panel of leaders from Merakey, Integral Care and Youth Consultation Services, to share their innovative strategies for reducing staff turnover and increasing retention.
More
ANCOR Recap: Advanced Automation
Friday, April 19 | EHR Solutions and Operations,Human Services,Revenue Cycle/Billing,Thought Leadership
In this recap of our presentation at ANCOR, I'm joined by IDD and technology experts to discuss advanced automation––and how it can empower DSPs to better serve the IDD community.
More
Survey Success: Proactive Strategies for Hospice Survey Preparedness and Response
Thursday, April 18 | EHR Solutions and Operations,Legislative/Policy,Post-Acute Care,Thought Leadership,Value-based Care
Staying up to date with survey processes in hospice care helps you work towards ensuring quality, safety and operational efficiency. The year 2023 brought significant changes to the hospice survey landscape, with implications that resonate into 2024.
More