The new CMS payment model for Home Health Agencies known as PDGM (Patient Driven Groupings Model), will transform the payment method for all Medicare Home Health Agencies in the United States beginning in 2020. So, starting to plan for these sweeping changes early in 2019 is a must.
PDGM changes the method for calculating payments, including the changing of 60 day episode payments to 30 day payment periods and the removal of the therapy thresholds. PDGM will change the payment rates for agencies as compared to our current PPS model.
Home Health providers need to be proactive in identifying the impact as well as planning how to change operations to fit the new PDGM model.
Imark Billing has created a series of tools to better guide you through the PDGM maze as well as Impact look up tools to identify how your agency will fair under the PDGM payment model.