With the onset of the Patient-Driven Groupings Model (PDGM) during the pandemic era, many home health providers have failed to address the operational changes required to manage rehab under the new value-based model. As a result of the PDGM removing rehab visits from the payment calculation, many agencies have struggled with changes required to manage rehab content and outcomes. Recent work with multiple home health providers since the onset of the PDGM has revealed the connection between PDGM-compliant rehab programs, 5-Star Ratings, and optimal reimbursement.
During this four-part webinar series, attendees will learn how Medicare positioned rehab management at the center of the PDGM despite removing per/visit therapy payments. Discover how to utilize the FIL (Functional Impairment Level) successfully to deliver value-based rehab programs based on the content modifications required for PDGM outcome success. In that manner, providers can develop the OASIS accuracy necessary for optimal reimbursement, while simultaneously establishing the care pathways required for 5-Star Ratings, single-digit readmissions, and optimal fiscal margins.
This exciting series breaks down the Medicare approach to the PDGM’s development to assure an understanding of rehab changes and how to achieve compliance with your therapy staff and programs. Beginning with a 10,000-foot view of the hidden value opportunities in the PDGM’s rehab regulations, home health administrators, managers and supervisors will gain insight into how to rewire therapy for new levels of success. In subsequent presentations, the development of PDGM-compliant rehab plans of care (POCs) and visit content can assure a value-based therapy episode. Finally, required rehab content necessary for skill, and denials occurring under the PDGM will round out where we are today in terms of qualified therapy expectations. The series concludes with a summary of the PDGM’s rehab POC development and in-episode delivery from admission to discharge, with a nod to future IMPACT Act reforms that will modify rehab even more.
Don’t miss the exciting and informative series to optimize your rehab programs for PDGM success.
Course Author - Arnie Cisneros, PT
Attendees will have a strong understanding of:
- The CMS required elements of documentaiton to support the provision of skilled services in the home setting
- What are the typical claim denials associated to rehab documentation
- The impact of regular in-episode case rounding with each clincian to ensure the services being provided are necessary and helping the therapist and patient achieve the outlined goals
By completing/passing this course, you will attain the certificate HCAF Course Certificate
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