Patient-Centric Care: Adapting To PDGM In Home Healthcare
The Patient-Driven Groupings Model (PDGM) is a new home health payment system implemented on January 1, 2020, by the Centers for Medicare and Medicaid Services (CMS). It has brought about changes in reimbursement methodology that impact clinicians, therapy services, and the overall workflow of home health agencies. In fact, it is a significant change from the previous payment model and is designed to align reimbursement with patient needs better. Let’s adapt to PDGM in home healthcare as an effort towards patient-centric care: Billing Changes under PDGM The Patient-Driven Groupings Model (PDGM) has significantly changed the home health billing process. Here are the key billing changes under PDGM 30-Day Payment Periods PDGM replaces the previous 60-day payment periods with 30-day payment periods. As a result, home healthcare agencies bill for each 30 days, making the billing cycle more frequent. Requests for Anticipated Payment (RAP) Home healthcare agencies continue t...