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
1.2.8.54 includes updated PDGM comparison tools to assist clients with
determining the impact these regulatory changes may have on their
agency. - The
PPS Costing Assistant, located on the PPS Margin Report
and Patient>Certify tab, now can be run for separate Period 1 and Period 2
comparison figures (the previous version provided doubled Period 1 estimates).
- The PPS Margin Report when run for PDGM Comparison will display actual Period 1 and 2 amounts in green if the PDGM amounts
are greater than PPS amounts and in red if the amounts are lower. The previous version of the PDGM Comparison report showed doubled Period 1 estimated amounts.
Please
note, 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 the latest options.
****IMPORTANT**** Medicare
Advantage plans are not required to use the PDGM payment method. We
urge our clients to request their Medicare Advantage
payers provide them with what their billing
requirements will be for 2020.
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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