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Home Health: PDGM Reimbursement

The purpose of this educational activity is to introduce the learner to clinical characteristics and other patient information to better provide Medicare payments with
patients’ care needs.


$15.00

Additional Course Information

Learning Objectives

At the completion of this educational activity, the learner will be able to:

  1. Identify two (2) differences between PPS and PDGM.
  2. Select three (3) payment considerations under PDGM.
  3. Select six (6) clinical groups within PDGM.

Learning Outcome

At the completion of the educational activity, the learner will be able to demonstrate knowledge about PDGM reimbursement in home health by passing a quiz with 85% or greater accuracy. 

Author

Laurie Knight, RN

Laurie is a Registered Nurse with 40 years of experience with the last 20 years in home health care.  She currently specializes as a Clinical Automation Consultant for a national home care agency where she provides clinical support and training to home care and hospice agencies following OASIS guidance, the Conditions of Participation, and agency policy.  Laurie has had various roles in the home care industry including Case Manager, Admission Nurse, and Clinical Home Health Supervisor.  As a supervisor she provided OASIS education and training to field staff along with managing 70-80 patients and reviewing OASIS.

Home Health: PDGM Reimbursement - Healthcare Academy
Healthcare Academy

Home Health: PDGM Reimbursement

$15.00

Mandated home health payment reform resulted in the Patient-Driven Groupings Model (PDGM) intended to improve payment accuracy for home care services, promote fair compensation, and increase the quality of care provided for beneficiaries.  This educational activity will introduce the learner to clinical characteristics and other patient information to better provide Medicare payments with patients’ care needs.

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