The Patient-Driven Groupings Model (PDGM) dramatically impacts agency operations, processes, and performance. This full-day workshop will provide the strategies and processes to prepare. Topics will focus on best episode management and process improvement practices, including referral, intake, and scheduling processes to help you more tightly manage care within the shorter 30-day payment period.
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- Review the impact of PDGM on agency operations
- Discuss the importance of ICD-10 coding, timely OASIS review, and clinical documentation
- Review strategic planning for implementation of clinical episode management best practices
- Review the complexity of determining Low Utilization Payment Adjustment (LUPA) thresholds, Partial Episode Payments (PEP), and outliers
- Review therapy utilization practices, discuss methods to evaluate current practices and implement changes for PDGM
8:30 – 9:00 a.m. | Breakfast and registration
9:00 – 10:30 a.m. | PDGM structure, operations impact, therapy utilization impact
10:45 – 12:00 p.m. | Coding, case management, OASIS D-1
12:00 – 1:00 p.m. | Lunch included
1:00 – 3:30 p.m. | Billing and adjustments, LUPAs, PEPs, outliers
Participants will receive 6.0 continuing education units for skilled nursing, occupational therapy, physical therapy and speech therapy. CPAs will receive 6.0 TB credits.
Melinda Gaboury, COS-C, is Co-Founder and Chief Executive Officer of Healthcare Provider Solutions, Inc. Melinda and Mark Cannon founded the company in 2001 to provide financial, reimbursement, clinical, and cost reporting services to the home health, hospice, and rehabilitation therapy industries. Melinda’s priority remains bridging the gap between clinical and financial issues in home health agencies. She is a speaker for multiple state home care associations and serves on the National Association for Home Care & Hospice Financial Managers Association Work Group and is ex-officio on the advisory board. She also serves on the Board of Directors of the Home Care Association of Florida. Melinda is also the author of The Home Health Guide to OASIS-D.
Registration & Fees
Thank you for your support for HCAF educational programs! As a benefit of membership, HCAF Members receive 50% off the regular registration fee. To obtain the membership discount, please log in to your profile before registering. For registration assistance, to register by phone, or for more information, please email us at email@example.com or call (850) 222-8967.
- HCAF Certified & Associate Members: $199
- HCAF Private Duty Members: $368
- Prospective Members: $368
HCAF offers a multitude of ways for home care industry vendors to promote products and services, including through educational program sponsorships. Gain additional exposure for your organization by sponsoring this program! Click here for sponsorship information, fees, and additional opportunities.