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Preparing for PDGM Like a Pro

If you’re a home health agency, you probably have January 1, 2020, circled on your calendar. Not because it’s the start of a new year, but because that’s the day the Patient-Driven Groupings Model (PDGM), the new Centers for Medicare & Medicaid Services (CMS) payment model, takes effect.

If you haven’t yet drawn up a strategic plan or begun preparing for PDGM, you may be feeling a bit overwhelmed. But you're not alone and it's not too late to get started. Even for those HHAs that are deep into their plans and preparations, PDGM is raising uncertainty and presenting challenges. 

Improving Your Hospital Intake Game - Part 2: Does Your Back-Office Process Need a Boost?

Happy Skilled Nursing Care Week: eSolutions Celebrates Nurses and SNF Staff

Each and every day, skilled nursing centers around the country assist our beloved family and friends who are seniors or who live with with disabilities, enabling them to live happier, more comfortable lives. Whether it’s reading or listening to music, interacting with families, listening or just helping them feel better, these centers pay it forward by helping to improve individuals’ quality of life and, in the process, experience more fulfilling lives.

Client Services Spotlight: Meet Morgan Brown

If you ask Morgan Brown, she’ll tell you that she was “rescued” by her boss. Once upon a time in the not-so-distant past, Morgan was working as a server at a restaurant frequented by a customer who just happened to work for eSolutions.

After Helen Bardo-Levins, Senior Director of Client Services, finished her meal, she started quizzing Morgan about school and her experience outside of food service. Morgan informed her that she had earned a degree in healthcare administration. Helen gave Morgan her business card and told her to call soon.

PDPM Is Poised to Transform the Way SNFs Do Business – Are You Ready?

If your Skilled Nursing Facility (SNF) is not prepared when October 1, 2019, rolls around, it may seem as though the RUG has been pulled out from under you.

Review Choice Demonstration is Almost Here

The Centers for Medicare & Medicaid Services (CMS) announced that Review Choice Demonstration (RCD) will begin in Illinois on June 1, 2019.

eSolutions Achieves HITRUST CSF® Certification and HITRUST Certification of the NIST Cybersecurity Framework

eSolutions Inc. Achieves HITRUST CSF® Certification and HITRUST Certification of the NIST Cybersecurity Framework to Manage Risk, Improve Security Posture and Meet Compliance Requirements

eSolutions Newsletter | Q1 2019


What Is PDGM and What Will it Mean for Your HHA?

If you’re a home health agency (HHA), the Patient-Driven Groupings Model (PDGM) and its January 1, 2020, deadline have probably been on your mind a lot lately. And for good reason – analyst and investment firm TripleTree has called it “the most significant regulatory and reimbursement reform since the creation of the Prospective Payments System (PPS) 20 years ago.”

You may feel a little frazzled or confused by PDGM and the changes it will bring starting in 2020, but don’t hit the panic button. First, you should know what PDGM is and what it’s expected to do. Required by the Bipartisan Budget Act of 2018, PGDM was developed to improve reimbursement for all types of patients eligible for home health benefits and remove perceived incentives to over-provide therapy services, according to Home Health Care News.

Improving Your Hospital Intake Game - Part 1

For healthcare providers, claim denials are just a routine part of business. It seems you can’t completely escape them no matter how hard you try. You’ve heard the statistics: The average claim denial rate across the healthcare industry falls between five and 10 percent, according to an American Academy of Family Physicians (AAFP) report.