Home Health Care News November 14, 2019
The home health industry is right on the cusp of the Patient-Driven Groupings Model (PDGM) becoming the new normal.
Among its changes, the payment overhaul gets rid of scores of previously acceptable primary diagnosis codes under the Prospective Payment System (PPS). In fact, PDGM has roughly 40% fewer acceptable codes compared to the current payment model, which has been in place for about 20 decades.
When most people think about PDGM, however, they automatically turn their attention to therapy changes, the new 30-day billing periods and the model’s now 4.36% behavioral adjustment. Those issues are important, but agencies can’t afford to neglect the sometimes under-the-radar questionable encounter topic.
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