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Patient-Driven Groupings Model Workshop It’s Official! – Ontario, CA

Speaker(s): Melinda A. Gaboury, CEO

Category: Speaking Engagement

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Patient-Driven Groupings Model Workshop It’s Official! – Ontario, CA Jan 29
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About the Event

The new payment model dramatically impacts agency operations, processes and performance. Agencies must develop and implement plans to successfully transition to PDGM. This workshop will discuss key areas, strategies and processes in preparing an agency for PDGM.

This workshop will have a focus on best episode management and process improvement practices including the referral, intake and scheduling processes, timely documentation, physician and patient communication strategies, all of which are required to more tightly manage care within the shorter 30-day payment period. The change to a 30-day payment model will also bring significant back office changes, specific to the claims processing and collections, which will be one emphasis of this workshop. A strong clinical episode management program is critical to ensure sustained, efficient, cost-effective and uncompromised quality care delivery under the PDGM program!

This workshop will bring emphasis to the fact that every discipline is valued the same and extra therapy visits does not equal higher payment. Lastly, this workshop will review the full blown emphasis of ICD-10 coding under PDGM and how agencies will have to monitor to ensure the specificity of coding for their patient care plans.


*Summarize key areas of agency operations affected by PDGM.
*Present data to assist in determining financial impacts of PDGM on an agency.
*Review the complexity of determining LUPA thresholds under PDGM.
*Review the impact of ICD-10 coding under PDGM.
*Review strategic planning for implementation of clinical episode management best practices within the agency.