In this episode, Nick Seabrook of BlackTree Healthcare Consulting educates me on the new Patient-Driven Groupings Model (PDGM). He outlines the "new" elements of this major shift in Home Health reimbursement, how it will impact agencies, and touches on what agencies can do now to get ready for this.
Your Home Health Agency will be surveyed soon. With all the changes that are constant in the world of Home Health, one thing that does not change is the importance of preparing well for a surveyor to walk through your door - especially with new Conditions of Participation and outcome-driven care now the norm. How to prepare for and perform well in your next Survey should not be a secret.
In this episode, I get to the bottom of Pre-Claim Review, and the "new" version of PCR called Review Choice Demonstration, thanks to Aaron Little of BKD. This new podcast episode goes really in depth on the origin of PCR, and how it ultimately came to its end. It also sheds light on what to expect with the resurrected version!
In this "InBoxing" article, Aaron Little of BKD discusses (the artist formerly known as) Pre-Claim Review. The Medicare home health pre-claim review (PCR) process implemented in 2016 created extensive operational challenges and payment delays and was eventually “paused” in 2017. A new threat to operational efficiency and cash flow has been proposed to replace PCR in the form of the Review Choice Demonstration (RCD).
Aaron and I discuss why it has resurfaced, what has changed, what will be different this time around, and a new name for this significant regulatory change.
Effective care coordination and case management are dependent upon the interdisciplinary team working together towards collaborative goals and coordinating patient care in a proactive manner. Effective case management can enhance patient outcomes by planning a course of interventions and developing a plan to achieve the goal. This webinar will provide an understanding of what an effective case management model looks like and how you can ensure its success within your agency to ensure compliance with the CoP’s.
COP. QAPI. PIP. CMS. The new and revised Medicare Conditions of Participation (CoP’s) have been in effect for six months now, and it can all feel a bit like acronym salad. How is your agency doing with the new CoP's? Before you and your agency go six months further into this new world order in Home Health - the time to evaluate your agency’s compliance with these CoP’s is now!