CMS has announced the new home health payment system to be effective January 1, 2020. The Patient Driven Grouping Model (PDGM) represents the most sweeping changes in the home health industry since the introduction of Prospective Payment System (PPS) in 2000. It is very important that providers understand that while the payment system is changing the stringent requirements of home health documentation will only be enhanced under the new payment system. Yes, OASIS D is implemented and now PDGM requires further update to OASIS D-1. Targeted Probe and Educate (TPE) audits are the new normal for medical review by the MAC Contractors. The Unified Program Integrity Contractors (UPIC) continue to address data-mined aberrations in billing for home health services and are an integral part of the TPE process where providers fail the first three rounds. Friends, documentation will remain “KING” and a huge determining factor in your business’ long-term success.
This course is designed to bring you up to date and offer practical knowledge needed to adapt to ever changing industry demands. We all know that CMS is moving to coordinate comprehensive assessment data among the various post-acute provider settings. We are, or should be in tune to the importance of reporting quality outcomes and the government’s movement toward reimbursements being tied to individual agency performance. Accordingly, be prepared for this course to highlight how OASIS D-1 will affect your bottom line under PDGM. It also places emphasis to highlight data elements critical to Home Health Quality Reporting Programs. Documentation continues to be the number one risk area in home health operations regarding retaining reimbursements from Federal, State and Commercial Insurance payers and in determining STAR Ratings. The presenter for this course, Dana Eichler, RN with SMART Healthcare Resources will encourage attendees and provide expert guidance toward building a culture of Defensible Documentation in your agency. To that end this training is essential for your entire operation.
SMART Healthcare Resources
436 Victorian Park Cir
Franklin, TN 37067
Call: (615) 491-4065