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Patient-driven Groupings Model: What We Know Now

Speaker(s): Melinda A. Gaboury, CEO

Category: Speaking Engagement

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Patient-driven Groupings Model: What We Know Now Apr 09
10:00 am - 11:30 am CST
Hosted by
Iowa Hospital Association

About the Event

The Patient-driven Groupings Model is the largest update to the reimbursement model in home health in more than 20 years. This webinar will bring home health agencies up-to-date on clarifications CMS has issued on this rule. Participants will learn the status of reimbursement, issues surrounding cash flow and best practices in the revenue cycle.


*Describe the status of Medicare claims processing.
*List how to get accurate claims filed.
*Outline best practices from intake to billing.

While facing the crisis of the century in healthcare, this webinar will serve to provide clarifications on what is happening so quickly within the industry and address these changes. Cash flow is critical and this webinar will not only address keeping the current revenue cycle process rolling, but will discuss the Accelerated Payment process and provide details on relief such as the ever awaited update to all NPPs to now certify home health patients and sign orders. Following are the things that we will address in this webinar:

• Telehealth – what is allowed for home health & hospice and what is not
• The relaxing of the Quality Reporting Items – and dates
• OASIS timeline requirements relaxed but still required and still required transmission for billing
• Accelerated Payment Requests and the process of recoupment
• NP, PA and CNS now allowed to certify patients and follow
• New diagnosis code for COVID-19 and implementation of the same in the CMS PDGM Grouper
• Suspension of medical review (TPE, ADRs, etc.)
• Revenue cycle keys to keeping the cash flowing