Friday, November 08 | Legislative/Policy, Post-Acute Care, EHR Solutions and Operations, Partnerships and Collaboration
CMS Finalizes Home Health Payment Rule
By Netsmart
The Centers for Medicare & Medicaid Services (CMS) finalized the much anticipated Home Health Final Rule October 31. This rule finalized changes for the Patient-Driven Groupings Model (PDGM) that will go into effect on January 1, 2020.
The good news is that, overall, CMS’s final rule for 2020 increases Medicare payments by an estimated 1.3% — or about $250 million.
But perhaps the biggest news for U.S. home health providers is a major update to PDGM’s widely opposed and controversial behavioral adjustment. In the Final Rule, CMS lowered the behavioral adjustment from 8.01% to 4.36%, which is “a big win for home health” says Mike Dordick, McBee President.
Read the McBee summary of the 2020 Medicare Final Rule for home health agencies.
Netsmart and McBee will continue to advocate for the home health industry. Our goal is to prepare our clients for PDGM and help our industry succeed.
You should start preparing for PDGM now. Ensure you have strong co-morbidity and diagnosis coding in place.
To learn about what you need to succeed under PDGM, visit our PDGM resource page here.
Meet the Author
Netsmart
·
Communities
From the CareThreads Blog
Extreme Usability in Post-Acute Care: Technology That Works the Way You Do
Tuesday, February 04 | Post-Acute Care,EHR Solutions and Operations
Extreme usability is an intentional approach to designing technology that’s intuitive, role-based and aligned with the needs of diverse care teams.
More
2025 Readiness: 8 Enhancement Considerations for Human Services & Post Acute Teams
Monday, February 03 | EHR Solutions and Operations,Human Services,Interoperability,Post-Acute Care,Revenue Cycle/Billing
Here are eight key considerations for leveraging your EHR to prepare for the year ahead.
More
Advancing Addiction Treatment: 6 Ways Technology is the Catalyst
Tuesday, January 28 | EHR Solutions and Operations
Here are six innovative ways technology is advancing addiction treatment in 2025.
More