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PDGM Resource Center

The PDGM: Amid the hype, what's happening now?

The Patient Driven Groupings Model (PDGM) continues to live up to the hype surrounding its launch on January 1 of this year. Since its inception, PDGM has proven to be a handful for providers trying to work out best practices under the new model. Known as the most sweeping change in home health reimbursement in 20 years, PDGM has required home health agencies to change every corner of their operations, from intake to care management to coding and billing.

eSolutions has been there every step of the way, helping agencies make sense of PDGM so their cash flow and financial health remain strong. As the Medicare experts, we have helped hundreds of home health agencies implement the right revenue cycle management processes to maximize reimbursement and performance under PDGM.

eSolutions products to help you during COVID-19:

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FAQs

PDGM Quick FAQs

Want to freshen up on PDGM basics? Read through our Quick FAQs.

PDGM Behavioral Adjustments FAQs

What are behavioral adjustments and how do they affect your agency? Find out in our Behavioral Adjustments FAQs.

Q&A

Exclusive PDGM Q&A with Melinda Gaboury

Melinda Gaboury, COS-C, CEO and founder of Healthcare Provider Solutions, Inc., joined us for an exclusive Q&A session focused not only on the impact of COVID-19, but also on how the crisis amplifies other major industry shifts, like PDGM, Review Choice Demonstration, and more.

Tips

PDGM Intake Tips

Intake is one of the first steps of the reimbursement process, and PDGM adds complexity to intake and admission procedures. Check out our PDGM Intake Tip Sheet here.

The Top 5 Ways Your HHA Is Leaving Money on the Table Under PDGM

Simply put, PDGM has proven to be a handful for most home health organizations. Agencies across the nation are trying to determine best practices for success under the new payment model. Check out the Top 5 Ways your HHA is Leaving Money on the Table.

Review Choice Demonstration

Effective March 30, certain claims processing requirements for the Review Choice Demonstration (RCD) were paused in Illinois, Ohio, and Texas, until the public health emergency for the COVID-19 pandemic has ended. Home health agencies can source information and resources here.

Getting Ready for Review Choice Demonstration eBook

While RCD may be paused during the COVID-19 crisis, it’s otherwise here to stay and eventually coming for providers in North Carolina and Florida. If the demonstration hasn’t yet hit your state, it’s never to early to get ready! Prepare your agency for RCD with our informative eBook that’s packed full of everything you need to know to succeed.

In case you missed it...

Preparing for PDGM Like a Pro

PDGM marks the biggest home health reimbursement overhaul in two decades. This blog post offers valuable insight on prepping your home health agency for success under PDGM – find it here.

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

If your agency is still feeling a little frazzled or confused by PDGM and the changes it brought this year, don’t hit the panic button. We’ve got tips on how HHAs can focus less on administrative duties under PDGM and more on delivering care – read more here.

Learn more about PDGM

To find out more about PDGM, the Centers for Medicare & Medicaid Services (CMS) offers a wealth of resources online:

Set yourself up for PDGM success – connect with us today!