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Mar 19, 2019 · The Patient-Driven Groupings Model (PDGM) is just nine months from taking the home health care industry by storm. By now, operators should have started preparing for the sweeping adjustments on tap for 2020 — but taking the right steps at the right time is crucial to ensuring success. Among its high-level changes, PDGM removes perceived … The CY 2019 Home Health Payment System Rate final rule was published last week and, as expected, the Patient-Driven Groupings Model (PDGM) will be implemented for 30-day periods of care starting on or after January 1, 2020. Apr 04, 2019 · An Overview of PDGM: Preparing for 2020 Thursday, April 4, 2019; 2:00-3:00 pm eastern From reducing claims period from 60 to 30 days, to introducing a 14-day look-back mechanism to determine patient source, the Patient-Driven Groupings Model (PDGM) is the biggest change that has faced home health Mar 29, 2019 · The Patient-Driven Groupings Model (PDGM) is an alternative payment model that will replace the home health Prospective Payment System (PPS). The planned implementation date is January 1, 2020. Overview of the PDGM Model Medicare Learning Network Call – February 12, 2019 The presentation (PDF) , audio recording (ZIP) , and transcript (PDF) are available from the February 12 call on the Home Health Patient-Driven Groupings Model (PDGM) that will be implemented on January 1, 2020. Jul 14, 2019 · Home health operators and industry advocates are voicing their concerns following a proposal from the Centers for Medicare & Medicaid Services (CMS) to eliminate home health pre-payments and move forward with behavioral assumptions under the Patient-Driven Groupings Model (PDGM). Specifically, many worry the proposed changes will create cash flow problems for home health agencies, which … During the transition to PDGM, CMS finalized 60-day episodes spanning the January 1, 2020, implementation date of the PDGM will be paid the CY 2020 national, standardized 60-day episode payment amount of $3,220.79, and will be case-mix adjusted using the CY 2019 case-mix weights as listed in the CY 2019 HH PPS final rule.