Podcasts about pdgm

Accurate OASIS coding is essential for all home health clinicians due to the direct impact quality indicators will have on an agency's star rating. With the CMS plan to move to a universal outcome measure for all post-acute settings, OASIS will become an important tool beyond home health. Payment through PDGM and PDPM are driven, at least in part, by improvement as measured through OASIS. This course will provide easy-to-use and understandable methods that will improve a clinician's ability to provide correct coding to all OASIS M1800 items and compare them to the OASIS GG items. This podcast will provide sample questions throughout the course to ensure the participant's understanding. Clinicians conducting OASIS assessments will immediately see an improved understanding of accurate OASIS coding, as will those participating in collaborative assessments now allowed by CMS. To view accreditation information and access completion requirements to receive a certificate for completing this course, please click here. The content of this Summit podcast is provided only for educational and training purposes for licensed physical therapists and occupational therapists. This content should not be used as medical advice to treat any medical condition in either yourself or others.

When OT Can Stand Alone in Home HealthHow many visits does another qualified practitioner have to complete before occupational therapy can stand alone for a Medicare home health patient? This is a question I got asked more than once and wanted to take the time to get to the bottom of this question and address some of the myths around the order of service. That's why this week on The Amplify OT Podcast, I am breaking down the criteria for OT to stand alone in home health.Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy.In this episode, I cover:Reviewing the definition of a qualifying service in Medicare Part A.What it means to be able to “stand alone” in home health.Breaking down the policy and answering the question: ow many visits does another qualified practitioner have to complete before occupational therapy can stand alone for a Medicare home health patient?Whether or not it matters what order the therapies go in in order to qualify for home health. Instances where agencies may be hesitant to allow OTs to initiate the start of care.Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokHelpful LinksHome Health Playlist • Amplify OTUltimate OT Skilled Nursing Facility (SNF) and Home Health Guide • Amplify OTAmplify OT • Is OT a Qualifying Service in Home Health?Amplify OT: Can Occupational Therapists Perform the SOC OASIS?Amplify OT • What is PDGM in Home Health?©Amplify OTMentioned in this episode:Medbridge Ad LinkNeed CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout. Medbridge has great CEUs on Medicare, Reimbursement, and leadership! By using our affiliate code "AmplifyOT" at checkout you support this podcast and our continued work. Thanks for supporting Amplify OT! https://www.medbridgeeducation.com/amplify-ot

Accurate OASIS coding is essential for all home health clinicians due to the direct impact quality indicators will have on an agency's star rating. With the CMS plan to move to a universal outcome measure for all post-acute settings, OASIS will become an important tool beyond home health. Payment through PDGM and PDPM are driven, at least in part, by improvement as measured through OASIS. This course will provide easy to use methods that will improve a clinician's ability to provide correct coding to all OASIS-C and D (cognitive and mental health) items. This podcast will provide sample questions throughout the course to ensure the participant's understanding. The podcast format will enable participants to listen and review the material at their own leisure, while providing an in-depth look at very specific sections of the OASIS. Clinicians conducting OASIS assessments will immediately see improved understanding of accurate OASIS coding, as will those participating in collaborative assessments now allowed by CMS. To view accreditation information and access completion requirements to receive a certificate for completing this course, please Click here   The content of this Summit podcast is provided only for educational and training purposes for licensed physical therapists and occupational therapists. This content should not be used as medical advice to treat any medical condition in either yourself or others.

There are a lot of misconceptions out there about PDGM so let's set the record straight! PDGM is the new home health payment system for Medicare which was implemented on January 1, 2020.  Subscribe to my newsletter Get Unlimited CEUs with Medbridge Start your podcast: Anchor.fm --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support

What is the potential impact of PDGM on wound care? Home Health Patient-Driven Groupings Model is not going away.  What is your strategy for providing effective and efficient wound healing?  In this episode, Tayo Clemmons explores some of the challenges as we move further into PDGM.Chrystalbelle Rogers interviews Tayo Clemmons, Director of Government Affairs and Payer Relations to get the scoop on PDGM.  Join this episode to learn more. Have a clinical chat topic request?  Need more information? We want to hear from you! Please reach out to us at clinicalchats@molnlycke.com You can also check out other episodes at clinicalchats.buzzsprout.com/ or our educational page at connect2know.com.

Introduction For this episode of the Post-Acute POV, our host Navin Gupta, SVP of the Home and Hospice Division at MatrixCare, is joined by Nick Knowlton, Vice President, Strategic Initiatives, ResMed, and Board Chairman, CommonWell Health Alliance, to explain the impact of interoperability. Listen in as Nick and Navin review the findings from our recent survey which polled 100 health systems and physician groups, 300 home-based care organizations spanning home health, hospice, palliative care, and private duty, and for the first time, 300 skilled nursing facilities. The results show progress—yet significant gaps—and an opportunity for both home-based care providers and skilled nursing facilities to improve their electronic data-sharing capabilities. Questions to ask your technology provider to improve interoperability: Does your system exist in the native workflow or outside of the solution? Is the documentation your system provides only in a human readable format? Can your system reconcile medications directly into the patient’s chart? Can your system provide insight into mid-episode encounters patients are having? How can your system help with PDGM or navigating palliative care programs? How is your system able to communicate the quality of care back to referral sources both actively and passively? Will your system work for my local geography and current referral source relationships? Ask your vendors about the usual business questions too – Is there a high surcharge to connect? Is it part of my core software package? Is the value aligned with the cost? Topics discussed during today’s episode: [02:50 – 04:48]: What is interoperability and what problem does it solve? [05:41 – 09:22]: The survey found that 95% of providers say they believe interoperability is crucial, compared to 34% in the previous year. Nick explains what he attributes this jump in better understanding the importance of interoperability to. [11:36 – 14:13]: Nick describes why referring physicians are more likely than ever to switch partners to those who they believe can more effectively process electronic referrals. [14:47 – 17:50]: Nick explains the four tiers of maturity in relation to interoperability: basic, moderate, advanced, and high-performing. [18:54 – 20:43]: Nick talks about the types of conversations providers should be having with their technology partners if they are interested in improving interoperability. Note: The questions Nick provided are listed above. [22:04 - 25:41]: How interoperability can help mitigate immediate workforce issues providers are facing. [27:00 - 29:54]: How providers who are on the fence about interoperability can get started. Nick lists actionable steps providers can take today. Resources Learn more about MatrixCare at: https://www.matrixcare.com/ Find out more about our commitment to interoperability: https://www.matrixcare.com/interoperability/ Download the survey report Read the transcript of today’s episode

Introduction For this episode of the Post-Acute POV, our host Navin Gupta, SVP of the home and hospice division at MatrixCare, is joined by Nick Knowlton, vice president, strategic initiatives, ResMed, and board chairman, CommonWell Health Alliance, to explain the impact of interoperability. Listen in as Nick and Navin review the findings from our recent survey which polled 100 health systems and physician groups, 300 home-based care organizations spanning home health, hospice, palliative care, and private duty, and for the first time, 300 skilled nursing facilities. The results show progress—yet significant gaps—and an opportunity for both home-based care providers and skilled nursing facilities to improve their electronic data-sharing capabilities. Questions to ask your technology provider to improve interoperability: Does your system exist in the native workflow or outside of the solution? Is the documentation your system provides only in a human readable format? Can your system reconcile medications directly into the patient’s chart? Can your system provide insight into mid-episode encounters patients are having? How can your system help with PDGM or navigating palliative care programs? How is your system able to communicate the quality of care back to referral sources both actively and passively? Will your system work for my local geography and current referral source relationships? Ask your vendors about the usual business questions too – Is there a high surcharge to connect? Is it part of my core software package? Is the value aligned with the cost? Topics discussed during today’s episode: [02:50 – 04:48]: What is interoperability and what problem does it solve? [05:41 – 09:22]: The survey found that 95% of providers say they believe interoperability is crucial, compared to 34% in the previous year. Nick explains what he attributes this jump in better understanding the importance of interoperability to. [11:36 – 14:13]: Nick describes why referring physicians are more likely than ever to switch partners to those who they believe can more effectively process electronic referrals. [14:47 – 17:50]: Nick explains the four tiers of maturity in relation to interoperability: basic, moderate, advanced, and high-performing. [18:54 – 20:43]: Nick talks about the types of conversations providers should be having with their technology partners if they are interested in improving interoperability. Note: The questions Nick provided are listed above. [22:04 - 25:41]: How interoperability can help mitigate immediate workforce issues providers are facing. [27:00 - 29:54]: How providers who are on the fence about interoperability can get started. Nick lists actionable steps providers can take today. Resources Learn more about MatrixCare at: https://www.matrixcare.com/ Find out more about our commitment to interoperability: https://www.matrixcare.com/interoperability/ Download the survey report Read the transcript of today’s episode

Kara Welke, OTD, OTR/L, CLT creator of the Next Level Occupational Therapy platform interviews Carly Rimes Occupational Therapist. She joined our Therapy Business Builder Program in January of 2020 and it has been such a pleasure watching her start and grow such an amazing business. She has been an OT for 4 years and worked in home health and SNFs. After going through radiation for a brain tumor in grad school she quickly fell into a neurological focus. She was hired by a local physicians group to help revamp their treatment for neurological patients, especially home health. PDGM was then announced and greatly changed the treatment those patients would be receiving. So she then started looking into options of how these patients were going to continue to receive the services they need and stumbled upon Mobile Outpatient as an option. She officially launched her business (Mobile Rehab, in Naples FL) in March 2020 with 1 PT and herself. Currently, they have 3 PRN PTs, 2 PRN OTs including Carly, and an administrative assistant. On November 26, she finalized her 1000 notes. And up until then, it was mostly just her and one PT. Just to put that into perspective if she only received $100 per visit, that is 100,000 in 7 months all during COVID. How amazing is that!!! Check out our Next Level website for a FREE Start-Up Checklist and Business Plan and to join our FREE Next Level OT FB group, plus lots more: https://www.nextlevelot.com/home Become an OT Visionary! https://www.nextlevelot.com/nextlevelotvisionaries This Podcast is sponsored by our Therapy Business Builder program, where we help healthcare professionals start their own business from the ground up. https://www.nextlevelot.com/therapybusinessbuilderprograms

LHC Group is one of the largest post-acute providers in the United States, encompassing most states with a variety of home health, hospice, and other services.  Josh and Dr. Ben join the show to discuss how LHC's clinical and joint venture expertise with health systems has helped its many locations become marketplace leaders.

This episode is sponsored by the Accreditation Commission for Health Care (ACHC). William A. Dombi, president & CEO of NAHC, provides an update on important legislation, how the coronavirus pandemic has affected the industry, and where the industry stands on PDGM mid-2020.The National Association for Home Care & Hospice (NAHC) is a nonprofit organization that represents the nation's 33,000 homecare and hospice organizations. NAHC also advocates for the more than two million nurses, therapists, aides and other caregivers employed by such organizations to provide in-home services to some 12 million Americans each year who are infirm, chronically ill, and disabled. 939642

Reimbursement changes can be a challenge to keep track of in the healthcare industry. Heather Trumm, Director of VGM Wound Care interviews Yesenia Banks, Reimbursement Manager of 3M KCI, to help us better understand the recent Medicare reimbursement changes known as PDPM and PDGM.

Months and months of preparation, training and concern went into preparing home health agencies for the change to PDGM. Now that providers have been using PDGM for more than a full quarter, how are they adapting to the new system?In this conversation with host Stan Massey of Transcend, Jess Stover, principal, and Erin Masterson, consulting director, at BlackTree Healthcare Consulting dive into what the first quarter of data is reporting – even though some of the numbers admittedly have been skewed by COVID-19 circumstances.The discussion covers a range of topics and insights from BlackTree’s distinct perspective.BlackTree provides the strategies, resources and knowledge that healthcare agencies use to fulfill their vision. The BlackTree team is made up of clinical, operational and revenue cycle staff to support its clients. They have both the technical expertise and the real-world experience to implement seamless solutions that assist agencies in a rapidly changing operational and regulatory environment.With a career almost exclusively in home-based care, Jess has helped organizations improve their daily operations by taking a consultative approach to reimbursement and strategy. Jess has more than 13 years of experience providing extensive revenue cycle and operations consulting to organizations of all sizes. Erin’s work has focused on operational and accounts receivable engagements with an emphasis on project management and leadership surrounding increased cash flow, accounts receivable reductions, revenue cycle redesigns, and interim management for home health and hospice agencies.

A conversation between Navin Gupta, Vice President, Home Care Solutions for MatrixCare and his special guest Jeremy Crow, Senior Software Executive, Information Technology Consultant, and Certified Project Manager for HEALTHCAREfirst about RCM support through COVID-19, PDTM, and beyond.

EvergreenHealth Home Care has more experience dealing with the coronavirus than any other agency in the country. It’s been battling the COVID-19 virus since February, when the first positive case popped up in the Seattle area, where the home health provider is based. In this episode of Disrupt, you’ll hear from Brent Korte, chief home care officer at EvergreenHealth. Korte shared his organization’s story, as well as lessons learned and advice for other home health agencies. Listen to this episode of Disrupt to learn: -- How Evergreen is dealing with LUPAs, low therapy utilization and PDGM amid COVID-19 -- Why the provider’s PPE and staffing protocols are constantly changing -- What Korte wishes he had done differently -- And much more

Bert’s (mentor) Interview with Trevor Larsen (mentee) on How He Started His Home Health Contract Business How do you start your home health business? Engelbert shares his personal experience when he started his own home health business. He gives out his best practices and answers questions about certain aspects and issues with home health business. In this episode: 01:50 – Introduction of Trevor Larsen. 04:20 – When did his home health business took off? 04:50 – How many contracts and therapists does he have right now? 06:50 – How much is Trevor charging for his services? 07:55 – What are the areas he is covering? 08:55 – TIP from Bert on Home Health contracting. 10:40 – Bert addressed the issue of PDGM. 13:30 – Educate the seniors in our community about PDGM. 18:20 – Be proactive and educate existing patients/seniors. 24:40 – What are the tips for controlling growth so that therapists can service the patients, get good outcomes and can keep agencies happy at the same time? 25:45 – Be an advocate of your patients. 30:35 – Is a home health business still a viable business? 32:20 – How does one deal with delayed payments from home health clients? 35:40 – Follow a two invoice rule. 43:15 – Home health contracting is MediCare part A. 49:30 – Is it a good idea to go to the home health agency and learn their system? 51:35 – You become marketable if you know more software. You can contact Engelbert De Vera: https://www.rehabpreneur.com/ 972 649 9909

The rollout of PDGM, the new Medicare reimbursement model for home health, means big changes for therapists. How does the new Patient Driven Groupings Model impact PTs, OTs, and SLPs? What does it mean for the therapy profession, the availability of jobs, therapy services, and patient care? We uncover what you need to know now and going forward with PDGM expert Ellen Strunk and Reid Johnson.

We can do hard things. A friend told me this recently and it's appropriate to say here as we face decisions about how WE will handle the changes from PDGM now in place. PS We are reinventing! Check out www.tillandwater.com. --- Send in a voice message: https://anchor.fm/homehealthotexplorer/message

Pat Kelleher moderates a discussion among three leading experts about the first month of PDGM. Slides available at https://www.thinkhomecare.org/pdgm-slides

David Baiada is the CEO of BAYADA Home Health Care, one of the largest nonprofit home health agencies in the United States. Founded in 1975, BAYADA has 28,000 employees serving more than 150,000 clients per year in 23 states and 8 countries.

Let's Talk VALUE post PDGM Despite popular belief, the value of therapy in #HomeHealth hasn’t really changed post PDGM.   Check out this new episode with Troy Meade that will help you speak to the value of therapy that CONTINUES to be present even after PDGM.   REFERENCED LINKS: OUTCOMES Home-Health-Care Physical Therapy Improves Early Functional Recovery of Medicare Beneficiaries After Total Knee Arthroplasty - https://journals.lww.com/jbjsjournal/Abstract/2018/10170/Home_Health_Care_Physical_Therapy_Improves_Early.2.aspx The Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community - https://www.researchgate.net/publication/297469708_The_Role_of_Physical_Therapists_in_Reducing_Hospital_Readmissions_Optimizing_Outcomes_for_Older_Adults_During_Care_Transitions_From_Hospital_to_Community READMISSIONS Role of Physical Therapists in Reducing Hospital Readmissions: Optimizing Outcomes for Older Adults During Care Transitions From Hospital to Community - https://academic.oup.com/ptj/article/96/8/1125/2864870 Rethinking Hospital-Associated Deconditioning: Proposed Paradigm Shift - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4556957/ Research: Occupational Therapy Reduces Hospital Readmissions - https://www.aota.org/Publications-News/ForTheMedia/PressReleases/2016/091516-Readmission.aspx?platform=hootsuite ----- If you enjoyed this episode, consider joining the GEROS Community!  You'll get: Access to the Private FB Group where we stream interviews, share relevant research, & discuss cases. The weekly Recap of highlights around the GEROS Community. Sign up for free at http://GEROShealth.com/Join

EPISODE NOTESIn this introductory episode, you hear how I worked through the phases of clinical practice in pediatrics for 10 years and transitioned to geriatrics and then I almost quit being an occupational therapist all together because I felt so stuck and uninspired.  Here how I changed my perspective and made a complete mindset change.  Twenty years of clinical practice combined with lots of self-discovery, have taught me the principles of being the OT I always wanted to be.  It's a choice.  This first episode gives you a picture of the therapist that I have been and the OT that I have become as I worked with all age categories. After 20 years, I am just finding my "home" and I want to give the necessary insight to anyone who might be considering a transition to home care because we need you.   I had so many questions when I started and I didn't have much support.  I hope to be a source of encouragement and insight for anyone who needs it. A FB group for ideas on non-clinical work: https://www.facebook.com/groups/NonClinicalJobPostingsForRehabProfessionals/OT potential FB grouphttps://www.facebook.com/otpotential/?__xts__[0]=31.[40401617%2C%22intro_card%22%2C%7B%7D]Support the show (https://angierischpater.mykajabi.com)

Tomorrow is PDGM! Are you set up for success?

The new Medicare reimbursement model taking effect in home health might seem complicated and confusing. But in this week’s episode, we have experts break it down for you. Find out what you need to know about the Patient Driven Grouping Model, or PDGM, as we parse the changes and debunk the myths.

About Dr. David Martin PT, DPT, MSDr. Martin is a clinical leader for AMN Healthcare’s Allied division and supports numerous staffing accounts. He has over 10 years of clinical experience as a physical therapists and healthcare leader. Having worked in a multitude of settings including outpatient, skilled nursing, home health, and owner of his own private practice he brings a wealth of experience to the field of physical therapy. He participated on behalf of AMN Healthcare as a key participant for the Healthcare Leadership Counsel’s Opioid Crisis Solution Summit, advocating for healthcare reform and increased access to nonpharmacological alternatives to pain management. David is a state and national speaker at many healthcare conferences nationwide discussing the role of therapy and reducing opioid use in the long term care and short term care settings. As a previous travel therapist he and his wife Julie along with their 4 children traveled up and down the east coast for over 2 years. He is an avid outdoorsman and competitive athlete competing in CrossFit and running ultramarathons. Contact Us:ineedtraveltherapy@gowithadvanced.comWebsite:https://gowithadvanced.com/ineedtraveltherapyFacebook:https://www.facebook.com/gowithadvanced/Instagram:https://www.instagram.com/gowithadvanced/Produced by: Jonathan CaryMusic and Editing by: Aidan DykesPowered by: Advanced Travel Therapy

With 2020 right around the corner, the Patient-Driven Groupings Model (PDGM) is coming in hot. Providers big and small are mostly ready to go at this point -- but there’s always something new to learn. For the final Disrupt conversation of 2019 -- a year of change for the home health care industry -- HHCN caught up with the Partnership for Quality Home Healthcare’s Joanne Cunningham. Don’t miss this end-of-year update. Start off running in 2020. Listen to this episode of Disrupt to learn: -- What the first few months of 2020 are going to look like under PDGM -- How providers will (or won't) adapt to PDGM, RCD and the RAP phaseout -- Why a separate payment overhaul for skilling nursing could signal CMS hiccups for PDGM -- And more!

What You Need to Know About Payment Changes with PDPM & PDGM w. Ellen Strunk Ellen is a physical therapist & clinical consultant that is very active in SEVERAL of our professional organizations.  She has an amazing perspective of all the payment changes we're experiencing & sits down with Dustin Jones to discuss what these changes mean for US. Tune in to get a better perspective & realistic expectations of what the future holds considering these payment changes. Mentioned Links: APTA's Info for PDPM - https://www.apta.org/PDPM/SNF/ APTA's Info for PDGM - https://www.apta.org/PDPM/HomeHealth/ ----- If you enjoyed this episode, consider joining the GEROS Community! You'll get 1) Access to the Private FB Group where we discuss the content (& much more) plus 2) the weekly Recap of highlights around the GEROS Community. Sign up for free at http://GEROShealth.com/Join

PDPM and PDGM are giving PTs and PTA's stress. The Academy of Geriatric Physical Therapists, Home Health Section and the Section on Health Policy & Administration within the APTA got together to create resources for the profession. Ellen Strunk came on to break it down for us. Here are links to the resources mentioned in the show: APTA PDPM website:  http://www.apta.org/PDPM/ APTA PDGM website: http://www.apta.org/pdgm/ APTA website on Postacute Care Reform:  http://www.apta.org/PostacuteCareReform/ Academy of Geriatric Physical Therapy (AGPT) PDGM and PDPM website:  https://geriatricspt.org/practice/payment-policy-and-advocacy.cfm? Health Policy Administration- The Catalyst website Webinars at https://www.aptahpa.org/events/event_list.aspPayment and Practice Resources at https://www.aptahpa.org/page/PracticeResources Home Health section website: https://www.homehealthsection.org/

PDPM and PDGM are giving PTs and PTA's stress. The Academy of Geriatric Physical Therapists, Home Health Section and the Section on Health Policy & Administration within the APTA got together to create resources for the profession. Ellen Strunk came on to break it down for us. Here are links to the resources mentioned in the show: APTA PDPM website: http://www.apta.org/PDPM/ APTA PDGM website: http://www.apta.org/pdgm/ APTA website on Postacute Care Reform: http://www.apta.org/PostacuteCareReform/ Academy of Geriatric Physical Therapy (AGPT) PDGM and PDPM website: https://geriatricspt.org/practice/payment-policy-and-advocacy.cfm? Health Policy Administration- The Catalyst website * Webinars at https://www.aptahpa.org/events/event_list.asp* Payment and Practice Resources at https://www.aptahpa.org/page/PracticeResources Home Health section website: https://www.homehealthsection.org/

In Aegis Therapies’ fourth podcast covering the Patient Driven Groupings Model (PDGM), host Hal Price, Aegis’ Senior Vice President of Sales and Marketing, talks with Dawn Greaves, Aegis Therapies’ Vice President of At Home With Aegis, and Mark Besch, Chief Clinical Officer at Aegis Therapies. Hal, Dawn and Mark discuss the importance of interdisciplinary communication and collaboration and provide specific suggestions on how to do both effectively in PDGM.

In the third podcast of Aegis Therapies’ PDGM series, host Hal Price, Aegis’ Senior Vice President of Sales and Marketing talks with Dawn Greaves, Aegis Therapies’ Vice President of Home Services, At Home With Aegis, and Mark Besch, Chief Clinical Officer at Aegis Therapies. Hal, Dawn and Mark discuss considerations for therapy in PDGM, including steps agencies can take to help prepare for the transition.

Most providers of home health are worried about the impact PDGM will have on their operations, staffing and reimbursement. There’s been a lot of discussion about the challenges … but not so much about the opportunities PDGM may bring.Mark Hunt – vice president of the home health division of Covenant Care and a veteran of some of the biggest national brands in home health – explores the upside of PDGM, including better outcomes for patients.In this conversation with host Stan Massey of Transcend, Mark talks about the importance of upfront communications with staff and referral sources. Details include the implications of accurate and thorough coding, the new thresholds on therapy visits, avoiding LUPAs and other adjustments to help smart providers thrive under PDGM.

Paul Kusserow, President and Chief Executive Officer for Amedisys, the largest independent provider of home health, hospice and personal care services in the United States, recognizes the growing pains and opportunities associated with change in the home health industry. In this Help Choose Home interview, Kusserow highlights two changes in the home health industry: one, the introduction of patient data grouping models (PDGM) in January 2020, and two, the influence of technology. Both of these factors are not only reshaping the home health landscape, but are also impacting individual agencies and their approach to delivering quality care.

In Aegis Therapies’ second podcast covering the Patient Driven Groupings Model (PDGM), host Hal Price, Aegis’ Senior Vice President of Sales and Marketing talks with Dawn Greaves, Aegis Therapies’ Vice President of Home Services, At Home With Aegis, and Mark Besch, Chief Clinical Officer at Aegis Therapies. Hal, Dawn and Mark take a deeper dive into the five components that make up the new payment model.

OT Clarice Miller (AOTA Advocacy and Policy Coordinator for the Home and Community Health Section) joins us to share her passion and advocacy plus tips for transitioning. PS We are reinventing! Check out www.tillandwater.com. --- Send in a voice message: https://anchor.fm/homehealthotexplorer/message

In Aegis Therapies’ first podcast covering the Patient Driven Groupings Model (PDGM), host Hal Price, Aegis’ Senior Vice President of Sales and Marketing talks with Dawn Greaves, Aegis Therapies’ Vice President of Home Services, At Home With Aegis, and Mark Besch, Chief Clinical Officer at Aegis Therapies. Hal, Dawn and Mark provide a quick overview of PDGM and talk about how you should dive into the resources CMS has provided to prepare for PDGM and better understand the impact. Link referenced in this podcast: https://www.cms.gov/Center/Provider-Type/Home-Health-Agency-HHA-Center.html

PDGM can be scary to some but therapists have a unique place in home health that can't be replaced.  We need make sure that we understand the changes and how we can show our value for others to see it.  In this podcast, hopefully I point out 5 skills that therapists can sharpen if needed to show to others how we bring value to the home health setting beyond just the number of visits.  This hopefully ends on a high/positive note for you so that you know that home health therapy isn't going away and we play a vital part of keeping patients out of the hospital and improving quality of life.   APTA Home Health Value webinar: Link to site Rehab and reducing hospitalizations Home Health Section PDGM Resources  

PDGM Ambulation Charter With Meloni Jensen 07.12.2019 by St. Joseph Health, Home Care Services

The value of therapy is an important discussion in home health with the upcoming regulatory changes with PDGM.  Medication management can be positively affected by therapy with the appropriate knowledge to find and address possible issues in medication profiles. Today Troy continues to speak with Celeste (PT), Lisa (OT), and Andrea (ST) on why med management is important and how we can best help our patients understand and manage their medications. This is part two of a two part podcast. ————- GEROS Health now makes it easier for you to better serve Older Adults. Join the GEROS Community & get a weekly dose of actionable content to help you be a better clinician at www.Geroshealth.com 

With a new EVP, one of the oldest and largest nonprofit home- and community-based health care organizations in the country has its eyes set on the future. In this episode of Disrupt, you’ll hear from Andria Castellanos, executive vice president and chief of provider services at the Visiting Nurse Service of New York (VNSNY). Castellanos recently sat down with HHCN to reflect on her first six months in the new position and the direction in which she's the taking VNSNY. Listen to this episode of Disrupt to learn: - How VNSNY is preparing for PDGM and other regulatory headwinds - Why Castellanos is leaning into social determinants of health and value-based contracts - What goes into managing successful managed care relationships - …And much more!

Allan explains PDGM and how it affects patient payment in 2020.

The value of therapy is an important discussion in home health with the upcoming regulatory changes with PDGM.  Medication management can be positively affected by therapy with the appropriate knowledge to find and address possible issues in medication profiles. Today Troy speaks with Celeste (PT), Lisa (OT), and Andrea (ST) on why med management is important and how we can best help our patients understand and manage their medications. This is part one of a two part podcast. ————- GEROS Health now makes it easier for you to better serve Older Adults. Join the GEROS Community & get a weekly dose of actionable content to help you be a better clinician at www.Geroshealth.com 

What’s next, when it comes to risk-adjusted reimbursement? Home health is next. Just like diagnosis-related groups (DRGs) and hierarchical condition categories (HCCs), the patient-driven groupings model (PDGM) represents another tremendous opportunity for the health information management (HIM) professional because of the nationwide demands for ICD-10 expertise. The Centers for Medicare & Medicaid Services (CMS) is moving home health agencies away from a volume-based payment model and toward this new value-based payment system. During this edition of Talk Ten Tuesdays, where we hear from Bonnie S. Cassidy, past president of the American Health Information Management Association (AHIMA), who will share important news on the PDGM program. The broadcast will also feature these other segments:CDI Report: Glenn Krauss, nationally recognized clinical documentation improvement (CDI) expert, reports on the top 25 DRGs with improper payment due to insufficient documentation, medical necessity, and coding – and how while optimization through queries might help, the bottom line is getting paid.News Desk: Timothy Powell, a compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.Coding Report: Senior healthcare consultant Laurie Johnson returns to the broadcast to report on the diseases and the corresponding codes that are making the news.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on the development of the DRG: the backbone of the current prospective payment system.Materials from Dr. Remer's segment

Today with Speak with Carol Zehnacker, Ellen Strunk, and Bud Langham about the upcoming programing from the Home Health Section and the American Physical Therapy Association.  If you're not familiar with the Patient Driven Grouper Model (PDGM) then this podcast is a great introduction to the history and overview of the program as well as how you can learn more.   Get free resources from the Home Health Section!  www.homehealthsection.org ---------- Like us on Facebook: https://www.facebook.com/Home-Health-Section-APTA-228642080479484/ Follow us on Twitter: https://twitter.com/HomeHealthAPTA

Brandi Tayloe, PT and SVP of HealthPRO-Heritage On-campus Home Heath and Melinda Rochetti, PT, DPT, COS-C discuss the Patient Driven Groupings Model.

Pat Kelleher talks with NAHC's Bill Dombi about PDGM, reduced CMS spending, and more.