Free Home Health Line Tool
by: CMS
Here is the January 2021 OASAS Q&A from CMS, addressing provider questions on coding for pressure ulcers, assessing the ability to dress, requirements for medication reconciliation, and considerations on answering GG items.
This is an example of a home health referral checklist that agencies can provide to physicians to educate them on PDGM and what is required of home health agencies.
by: CMS
Claims with secondary diagnoses within interacting categories will qualify for a high comorbidity adjustment.
Industry experts recommend actions to take ahead of PDGM’s implementation on or after January 1, 2020.
by: CMS
CMS released the April 2019 quarterly OASIS Q&As on April 15, 2019.
by: CMS
The information below shows the thresholds for patients’ functional levels based on the 12 clinical groups within the Patient-Driven Groupings Model (PDGM).
There’s no doubt that the Patient-Driven Groupings Model (PDGM) has the potential to dramatically impact your agency’s bottom line. It will be vital for agencies to understand how the new model works in order to ensure success under PDGM. We’ve created this FREE infographic highlighting the facts and figures every agency should know before the new model takes effect.
View case-mix weights for each HHRG payment group.
View thresholds for functional levels by clinical group.
by: CMS
On Jan. 23, 2019, CMS released 48 frequently asked questions (FAQs) about the interpretive guidelines along with official responses.


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