Friday, November 08 | Legislative/Policy, Post-Acute Care, EHR Solutions and Operations, Partnerships and Collaboration

CMS Finalizes Home Health Payment Rule

By Netsmart

The Centers for Medicare & Medicaid Services (CMS) finalized the much anticipated Home Health Final Rule October 31.  This rule finalized changes for the Patient-Driven Groupings Model (PDGM) that will go into effect on January 1, 2020.
 
The good news is that, overall, CMS’s final rule for 2020 increases Medicare payments by an estimated 1.3% — or about $250 million. 
 
But perhaps the biggest news for U.S. home health providers is a major update to PDGM’s widely opposed and controversial behavioral adjustment.  In the Final Rule, CMS lowered the behavioral adjustment from 8.01% to 4.36%, which is “a big win for home health” says Mike Dordick, McBee President.  
 
 
Netsmart and McBee will continue to advocate for the home health industry. Our goal is to prepare our clients for PDGM and help our industry succeed. 
 
You should start preparing for PDGM now. Ensure you have strong co-morbidity and diagnosis coding in place. 
 
To learn about what you need to succeed under PDGM, visit our PDGM resource page here
 

 

Meet the Author

Netsmart - color - PNG
Netsmart ·

From the CareThreads Blog

Going Beyond Whole-Person Care with California's Medi-Cal Project CalAIM

Tuesday, May 24 | Thought Leadership,EHR Solutions and Operations,Care Coordination

CalAIM (California Advancing and Innovating Medi-Cal) promises to strengthen Medi-Cal, offering people a more person-centered approach to providing and receiving care in all aspects of life. Based on two waivers, Medi-Cal 2020 Section 1115 demonstration and CalAIM Section 1915(b), along with several State Plan amendments, CalAIM initiatives will improve care coordination, access to services and the overall health of California’s 14 million Medi-Cal enrollees. Discover how CalAIM and Netsmart are transforming healthcare together.

More

Achieving Interoperability in the Real World

Wednesday, May 11 | Post-Acute Care,Human Services,EHR Solutions and Operations,Interoperability

Interoperability has become an essential force behind healthcare technology, enabling providers to succeed in value-based care models and support care coordination for fundamental services such as crisis management. Look no further to find out what interoperability looks like in the real world and how individuals with complicated or co-occuring conditions benefit from healthcare solutions working together.

More

Doing More with Less: How to Amplify Your Workforce in 2022

Tuesday, March 15 | Thought Leadership,Post-Acute Care,Value-based Care,Human Services

Finding new ways to navigate the workforce crisis and ease the impact taken by the healthcare industry can start with a technology-first strategy. Check out the webinar recap to learn from industry leaders who share best tools and insights that have enabled healthcare organizations to empower staff to be more efficient and resilient in the midst of challenge.

More