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Why Home Health Agencies Should Pump the Brakes on Their PDGM Preparation

While it’s important to prepare for the Patient-Driven Groupings Model (PDGM) in 2020, home health owners and operators need to make sure they’re not taking their eye off the ball in 2019. The Prospective Payment System (PPS) is complex enough, so being overly focused on the future could impact financial success in the present. That’s …

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The continued importance of therapy under PDPM Marketplace -

Glenda Mack Despite The Centers for Medicare & Medicaid Services’ assertion that the new Patient-Driven Payment Model “focuses on the unique,

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Home Health Agencies & The Challenge Of Non-Medicare Payers

As Medicare reimbursement rates fall, Medicare Advantage programs are lowering payments to home health agencies. Does your agency have what it takes to succeed in this cost-focused environment?

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Home Health Billing

Under TRICARE, home health agency providers must follow Medicare guidelines and the TRICARE Reimbursement Manual, Chapter 12 when submitting claims for home health care to Health Net Federal Services, LLC (HNFS). ##Prospective Payment System The TRICARE benefit for home health care services closely follows Medicare’s Home Health …

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A Beginner's Guide to Home Health Billing

Home Health Billing - When you are new to billing you will have a lot of questions. The process of learning to bill is like learning a brand new language.

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CMS PITCHES 3 SWEEPING PAYMENT RULES FOR 2020: 10 THINGS TO KNOW

CMS released three proposed rules on July 29, which include payment updates for outpatient and physician services and expanded price transparency initiatives.

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