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!
After a long absence, the So What, Who Cares? podcast is back with John Griscavage of PlayMaker Health. We discuss his dynamic organization: What they do, why they acquired ViaDirect, and how they can impact growth in the post-acute health care market.
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.
Providing quality and regular Chronic Disease Education to your clinicians can feel like something that you have to do, rather than an initiative for Healthcare providers to improve Outcomes and increase reimbursement. However, this Case Study demonstrates just the opposite!
Education is key to assuring quality care for patients. The better educated the staff, the lower the costs for the entire health care system.