Posted on Friday, May 3, 2019 8:24 PM
NAHC is initiating an evaluation of the potential impact of the new Medicare home health Patient Driven Groupings Model (PDGM) on the provision of therapy services. While PDGM is based on 2017 data that reflects the volume of therapy services provided during that year, the payment rate for therapy-oriented patient episodes will be lower than the current rate for the same patients as a result of CMS using different visit cost data. Concerns have been raised that the lower payment rates may affect the level of care provided to therapy-oriented patients under PDGM.
NAHC is conducting a nationwide survey focused on expected actions by home health agencies. It is recognized that the survey seeks information regarding potential actions and that actual patterns of care when PDGM is in operation may be different. However, such information is very helpful, as NAHC plans for the upcoming 2020 payment rule that will fully finalize the PDGM standards.
Click here to take the survey.
Source: NAHC Report
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