To All Home Health Clients:
Effective
1/1/2020, the PDGM payment model will be replacing the current HH PPS
model. In conjunction with this change, payment will now be made for
each 30 day-period instead of for 60-day episodes.
Ver
1.2.8.53 includes new PDGM comparison tools to assist clients with
determining the impact these regulatory changes may have on their
agency. - The
PPS Costing Assistant can now be run from the PPS Margin Report in
addition to the Patient>Certify tab. A new 'Calc PDGM Hipps'
option has been added to this tool to compare PPS case weights and reimbursement
amounts with PDGM figures for individual certification periods.
- A
new PDGM Comparison option has been added to the PPS Margin Report to
allow users to compare PPS and PDGM estimates across multiple patients
and episodes.
Please
note, the PDGM numbers produced with these tools are estimates
calculated using the standard 30-day rate of $1753.68, multiplied by 2
to achieve a 60-day amount for comparison to PPS episode amounts. The
finalized 2020 standard rate and case weight amounts are not yet
published
by CMS. Review our PPS to PDGM Comparison Tools FAQ for detailed information on these new options.
Refer to Help>Release Notes to review a complete list of current and prior program changes. As always, if you need assistance please don't hesitate to contact HAS Support.
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