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

image-of-padlock-composed-of-connections

Cybersecurity in Conversation: Experts Answer Must-Know Questions

Thursday, January 07 | Thought Leadership,Post-Acute Care,Human Services

Healthcare agencies are extremely vulnerable to cybersecurity breaches, regardless of size. In this webinar, industry experts answered audience questions about the threat landscape and shared strategies for risk mitigation.

More
Blog Congress passes Opiod Bill

In Case You Missed It: Outcomes-Based Care for Justice-Involved Individuals

Thursday, December 03 | Human Services,Care Coordination,Partnerships and Collaboration,Value-based Care

Learn how organizations can properly assist justice-involved individuals experiencing mental health issues both before and after incarceration through programs and technologies designed with care coordination in mind.

More
Banner reads celebrating home care hospice and palliative care this November

Hospice, Palliative and Home Care Leaders Chart the Path Forward

Wednesday, November 18 | Thought Leadership,Post-Acute Care,Partnerships and Collaboration

This November, we celebrate National Hospice and Palliative Care Month and National Home Care and Hospice Month! We're looking back on advice and forecasts shared by clients and contributors to help guide us in the coming year.

More