Description

With the onset of the Patient-Driven Groupings Model (PDGM) during the pandemic era, many home health providers have failed to address the operational changes required to manage rehab under the new value-based model. As a result of the PDGM removing rehab visits from the payment calculation, many agencies have struggled with changes required to manage rehab content and outcomes. Recent work with multiple home health providers since the onset of the PDGM has revealed the connection between PDGM-compliant rehab programs, 5-Star Ratings, and optimal reimbursement.

During this four-part webinar series, attendees will learn how Medicare positioned rehab management at the center of the PDGM despite removing per/visit therapy payments. Discover how to utilize the FIL (Functional Impairment Level) successfully to deliver value-based rehab programs based on the content modifications required for PDGM outcome success. In that manner, providers can develop the OASIS accuracy necessary for optimal reimbursement, while simultaneously establishing the care pathways required for 5-Star Ratings, single-digit readmissions, and optimal fiscal margins.

This exciting series breaks down the Medicare approach to the PDGM’s development to assure an understanding of rehab changes and how to achieve compliance with your therapy staff and programs. Beginning with a 10,000-foot view of the hidden value opportunities in the PDGM’s rehab regulations, home health administrators, managers and supervisors will gain insight into how to rewire therapy for new levels of success. In subsequent presentations, the development of PDGM-compliant rehab plans of care (POCs) and visit content can assure a value-based therapy episode. Finally, required rehab content necessary for skill, and denials occurring under the PDGM will round out where we are today in terms of qualified therapy expectations. The series concludes with a summary of the PDGM’s rehab POC development and in-episode delivery from admission to discharge, with a nod to future IMPACT Act reforms that will modify rehab even more.

Don’t miss the exciting and informative series to optimize your rehab programs for PDGM success.

Part 3: PDGM Rehab In-Episode POC Management Value Concerns

• Rehab required documentation for coverage under the PDGM
• Demonstration of required documentation vs. current rehab documentation
• Value-based purchasing-focused rehab programming
• Rehab audits and denials
• Connecting denials to required rehab documentation to the PDGM file

Upcoming Program of the Webinar Series

• Part 4: PDGM Rehab Care Delivery Demonstration: From Admission to Discharge (August 18)

Meet the Speaker

Arnie Cisneros is the President of Home Health Strategic Management. He has over 30 years of experience as a physical therapist across the care continuum, and he serves as a Post-Acute Consultant for multiple Pioneer Accountable Care Organizations (ACOs). He is renowned for his adaptation of traditional health care operations to address ongoing Centers for Medicare & Medicaid Services (CMS) reforms.

Continuing Education

Attendees receive 1.5 continuing education units for skilled nursing, occupational therapy, physical therapy and speech therapy. 

Sponsors Welcome!

HCAF offers a multitude of ways for home care industry vendors to promote their products and services, including education program sponsorships. For more information about sponsoring this webinar program or the full webinar series, please contact Monica Smith, Deputy Director, at (850) 566-6999 or msmith@homecarefla.org.