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Category \ Operational


Under the Patient-Driven Groupings Model (PDGM), much of the data that impacts the Health Insurance Prospective Payment System (HIPPS) code and reimbursement – including episode timing, referral source, clinical group, and comorbidity – comes from claim information. The other reimbursement … Keep Reading
As the aging population continues to grow, so does the need for caregiving services, with 90% of Americans wanting to stay in their homes as long as possible. As a society, we depend on family to provide support throughout our … Keep Reading
Professionals in the home care industry are highly prone to employee burnout, with studies calculating the percentage of home care employee turnover at over 60%. However, a more recent study estimated the turnover rate to be around 80% for 2018. … Keep Reading
Whether your hospice agency is using the productivity ratio or another staffing model, understanding the number of team members your agency employs is paramount to the successful execution of your chosen staffing model. Why the Number Matters Payroll and related … Keep Reading
Over the past decade, competition in the private duty home care industry has been heating up as the senior population grows and the need for in-home care increases. According to Home Care Pulse, the number of home care companies with … Keep Reading
If you manage a home health agency (HHA), it may seem like the Patient-Driven Groupings Model (PDGM) has turned your world upside down. But as the saying goes, every cloud has a silver lining. Implementing process changes to adhere to … Keep Reading
I have a ‘pet peeve’ that I mention often when I speak at events. The Electronic Medical Record (EMR) was designed to assist the clinician in creating a “Point of Care” method of documentation that would improve communication among disciplines, … Keep Reading
The Centers for Medicare and Medicaid Services (CMS) is looking for hospices to help them develop the new assessment tool for hospice providers. The Hospice Outcomes and Patient Evaluation, or HOPE, as it is referred to by regulators, is the … Keep Reading
In a recently published Final Rule, CMS clarified the new regulatory guidelines for hospice emergency preparedness. The rules were part of a larger group of changes that are designed to relieve compliance burdens that have taken up time and resources … Keep Reading
The 2020 Home Health Final Rule was officially published November 8, 2019, and although the Patient-Driven Groupings Model (PDGM) has been the major focus of published reports to date, this final policy document covers many other aspects of home health … Keep Reading
As the home health industry evolves under the Patient-Driven Groupings Model (PDGM), providers must continue to be mindful of how their practices of delivering quality care can evolve as well. The adjustment to the new payment reform has forced providers … Keep Reading
There are many reasons that OASIS accuracy is vital to the success of an agency. But it is so much more than just the connection between accurate information and episode reimbursement. It is also important to keep in mind the … Keep Reading

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