CMS has changed the PPS case mix system “to rely on patient characteristics to set payment for therapy and non-therapy services and should no longer use the number of therapy visits as a payment factor.” The practice patterns and therapy compensation creep associated with the PPS methodology up until 2020 will fit poorly with a case mix system not relying on a therapy visit number. However, practice pattern changes do not occur as abruptly as payment changes.
This session will review the new Patient Driven Groupings Model (PDGM) and how therapy can and should impact the groupings within their own agency. We will then apply reasonable and necessary plans of care to typical home health conditions and link them to the outcomes agencies strive to achieve. Participants will learn to prepare changes in practice and to demonstrate the value therapy services can bring to the home health agency.
1. Describe the changes in PDGM from PPS
2. List how therapy can and should influence the Groupings in their own agency
3. Explain how reasonable and necessary therapy plans of care should directly relate to outcomes home health agencies need
Speaker: Karen Vance, BSOT, Senior Managing Consultant, BKD, LLP
Karen is a leading national home care and hospice consultant with over 35 years of experience as both an occupational therapy provider, regulatory manager and a consultant. She routinely provides clinical and operations consulting services to home care and hospice agencies and helps providers establish and maintain quality management practices by providing assessment, training and consulting. Karen is widely known for her industry expertise and is sought as a speaker at national, regional, and state industry events.
$79 - Members
$159 - Non-Members
NEW POLICY*:HCA of MA now requires that payment in advance. If we have not received payment before the event, you will be asked to provide it or proof of incoming payment in order to attend the meeting. Please be sure to send your open invoice to your accounting department so there are no problems.
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