Early Errors and Therapy Turmoil: Home Health Insiders Weigh in on PDGM’s Arrival

Posted on Monday, January 6, 2020 2:03 PM

Patient-Driven Groupings Model (PDGM) is finally here, and it brings the most significant changes to the home health reimbursement process since 2000.  It’s still too early to get a feel for how it is going, Home Health Care News asked some industry leaders about anticipated issues or challenges, keys to success in the first month and general buzz.   

They spoke with Bill Dombi, President of NAHC, who expressed the following concerns: “Home health agencies have committed much to early preparation for PDGM. The greatest concern of the moment is whether CMS and its contractors are equally prepared. The skilled nursing facilities’ experience in October with the Patient-Driven Payment Model (PDPM) is instructive, as there were a number of operational problems.

Secondarily, we remain concerned that the phaseout of the RAPs will create some cash flow difficulties for some home health agencies (HHAs).”

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