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PDGM Series: Functional Impairment Scoring & OASIS-D1

By Melinda A. Gaboury, CEO / Posted on: December 9, 2019

Preparing for PDGM: Step 3 in establishing a Home Health Resource Group (HHRG) and case-mix weight is patient Functional Impairment based on OASIS-D1 responses.

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PDGM Series: Understanding the First Steps in Patient Grouping—Admission Source and Timing

By Melinda A. Gaboury, CEO / Posted on: November 19, 2019

Transitioning to the Patient-Driven Groupings Model (PDGM) has already begun to impact operations for home health agencies that are indeed convinced that preparation should be underway. The first two pieces to the puzzle in establishing a Home Health Resource Group (HHRG) and corresponding case-mix weight are Admission Source and Timing. Both of these items are extremely important and will need meticulous attention at the Start of Care (SOC) and, for the Admission Source, that attention will need to continue into subsequent 30-day payment periods.

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PDGM Series: Top 25 PDGM Questions to Ask Your Home Health Agency’s Software Vendor

By Melinda A. Gaboury, CEO / Posted on: October 21, 2019

As home health agencies continue to plan for the implementation of PDGM there are some very important questions that agencies should be asking of the software vendors/electronic medical records (EMR) that will be utilized for clinical documentation and billing of Medicare Home Health claims.

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PDGM Series: Clinical Groupings & Comorbidity Adjustments

By Melinda A. Gaboury, CEO / Posted on: October 1, 2019

Transitioning to the Patient-Driven Groupings Model (PDGM) has already begun to impact operations for home health agencies that are indeed convinced that preparation must begin now.  Diagnosis coding and OASIS ADL data are two significant areas that the agency can impact by deeper education and understanding of both items.  Clinicians must understand the dire importance of including the appropriate disease processes in the assessment of the patient and development of care plans.

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