What has changed is the manner in which the interdisciplinary team approaches care planning, which yields solid clinical and financial outcomes. wound diagnosis in PDGM? Answer: Wounds with unspecified severity are sometimes okay, but unspecified laterality is never okay. Return to home. PDGM replaces the old 60-day home health episode with a 30-day episode. Our nurses can help assess your wound care needs, easily manage the situation, and work with you on an individualized treatment. Spanish: 1-866-302-4295, Option 6. The Clinical Grouping consists of 12 clinical groups: • Musculoskeletal Rehabilitation • Neuro/Stroke Rehabilitation • Wounds-Post-Op Wound Aftercare and Skin/Non-Surgical Wound Care • Complex Nursing Interventions. Indianapolis Hebrew Congregation. Under the Patient Driven Groupings Model (PDGM) case-mix recalibration, agencies have a better chance to be successful. The Checklist serves to ensure patient, family, and physician goals are met and the patient is fully prepared for discharge. Similar to the model in place for nearly two decades, PDGM will group patients by characteristics, figure an average for what it costs to take care of people in that group, and pay home health agencies a set fee per patient to take care of them. One of the many changes brought on by the Patient-Driven Groupings Model (PDGM) is the growing importance of wound care. Approximately half of the 10,500 agencies that received Medicare Fee-For-Service (FFS) payments in 2017 are expected to see gains under PDGM, assuming. Register Here. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. PDGM Home Care Infographic PDGM will require agencies to move fast, do more, and be specific with their referral and patient information. Infection originating from a cutaneous wound such as an ulcer, traumatic wound, abscess; Osteomyelitis (Please specify site and chronicity) Co-mobidities Drive the Level of Service Reimbursement. Wound care is critical to your overall health and becomes a greater concern with age. Our dedicated Wound Certified nurses provide holistic approach to chronic wound care, focusing on wounds that are slow to heal and other complex wound care needs. The author declares no conflicts of interest. What is the potential impact of PDGM on wound care? Home Health Patient-Driven Groupings Model is not going away. Wound care has become one of the fastest growing needs for home care services. Trilogy - PDGM Overview. A 72-year-old woman burned the palm of her right hand on her stove three months ago, causing a third degree burn. Patient-Driven Grouping Model (PDGM) Changes being implemented January 1, 2020. Through telemedicine, get the flexibility. The Clinical Grouping consists of 12 clinical groups: • Musculoskeletal Rehabilitation • Neuro/Stroke Rehabilitation • Wounds-Post-Op Wound Aftercare and Skin/Non-Surgical Wound Care • Complex Nursing Interventions. This "void" was illustrated by the missing piece in "w" in the logo. NOVEMBER 5, 2018. Creating patient outcomes in in a more timely manor is key to thriving under PDPM/PDGM. Wound care patients have never been easy to manage, and now the industry must work to achieve success with this difficult population within the limitations of the …. Secure HIPAA compliant Google enterprise cloud servers. The Value of Therapy Under PDGM "EARNED" Price $21. Details: 12:45-2:05 PM, Citron West. Patient Eligibility Criteria Services Furnished. 30-day episodes require rigorous episode management. Interim's home care clinicians are trained and experienced in wound management, the healing process, and the selection and use of effective wound products and devices. Under the PDGM case-mix re-calibration, agencies have a better chance to be successful if …. Join us as we look through the lens of therapists, nurses, and care managers, providing key guidance for planning a 30-day PDGM payment period and achieving best practice utilization management. Aug 05, 2021 · Statement from the Alliance of Wound Care Stakeholders - Wound Care is an Essential – Not Elective – Service that Prevents Hospital Admissions and ED Visits Among a Fragile Cohort of Patients at High-Risk of COVID-19. National PPS vs PDGM Reimbursement Distribution by Clinical Grouping. Session 21- Chronic Wound Management Presentation - Medline Session 22 - Mentoring: The Impact and Keys to Success - Claudia Mitchell, American College of Education Session 23 - Denials and Charting in a PDGM, RCD, and PHE World - Joe Osentoski. Trilogy - Casamba PDGM Functionality. Gig Harbor, WA 98332. Not only are wounds painful and stressful for the patient, but time and money also can be wasted when the wrong treatment is provided or even if the same treatment. Use technology to better understand market value and use it to improve referrals. "McBee Clinical Consulting Manager Laurie Salmons, RN, BS, will present with Corstrata Director of Wound Services Myra Varnado, RN, BS, CWOCN, CFCN, on March 20 at 2. When it comes to wound care, that means agencies should focus on wound care patients coming from institutions as opposed to those coming from primary care, since these tend to be more complex. Preparing For PDGM | PointClickCare. PDGM 30 Day Payment Periods SOC Date End of Period SOC Date End of Period SOC Date End of Period 07/01/21 thru 07/30/21 08/01/21 thru 08/30/21 09/01/21 thru 09/30/21 07/02/21 thru 07/31/21 08/02/21 thru 08/31/21 09/02/21 thru 10/01/21. Those three regulatory hurdles — and other changes — likely. Specific documentation helps ensure a timely start of your patients' care, prevents re-work for you and your staff and leads to better care. Please join Emily Greenstein, APRN, CNP, CWON, FACCWS for this mini on-demand video where she discusses diabetic foot ulcers and how to treat them. For both instructors there are no financial interests beyond the production of this course. PDGM addresses and corrects that issue. 1 launch of Medicare's complex new payment methodology. Review Choice Prep Quick View. Under PDGM, the LUPA threshold will vary by HHRG, and will be based on the 30-day period of care. We created an infographic that explains how technology can ease that pain. As of January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) is changing how Medicare reimburses for home health services. nursing-intensive clinical categories such as wound care or neurological rehabilitation. the PDGM model With PDGM, care is still provided within a 60-day episode. Though the burn was treated right away, it has failed to heal and has now become infected with MSSA. Under the rule, QE's will be rejected and returned to provider. Tuesday August 6 th 2019. Diabetes Clinical CareLine. Improve Your Patient's Quality of Life Today. The home healthcare equivalent of PDPM is called Patient-Driven Groupings Model (PDGM), which is scheduled to go live on January 1, 2020. to require ongoing but less resource-intensive care PDGM Details. This course is a recording of a previously hosted live webinar event. A variety of patient clinical characteristics create the 12 clinical groups of PDGM. Active wound care procedures are performed to remove devitalized and/or necrotic tissue to promote healing. Increase Revenue; Improve and expand your payer mix to include more patients and advanced wound care cases and increase reimbursement. Understand how to best manage your wound care patients based on clinical picture of the patient. It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021. Wound Care (CPT Codes 97597, 97598 and 11042-11047) 1. Home Health Executive Forecast: 2020 Trends, Challenges and Opportunities. coding for wound. All surgical aftercare codes indicate the patient has had a procedure of some kind, most commonly. For example, a patient with a diabetic foot wound, being seen for wound care will be in the "Wounds" Clinical Grouping. The sites all care for similar patients and wound types and are supposed to be using the same three hydrocolloid dressings. PointClickCare is the #1 cloud-based healthcare software provider helping long-term and post-acute care (LTPAC) providers navigate the new realities of value-based healthcare. In the Google Play Store, search "Axxess Home Health" in the search box and select the red app icon. Vohra constantly seeks to better understand the dynamics facing our partners. This new model is especially relevant for wound care patients, who often require complex, chronic care for extended periods of time - with a wound taking 311 days to heal on average. With bonus intake form! Quick View. Not only are wounds painful and stressful for the patient, but time and money also can be wasted when the wrong treatment is provided or even if the same treatment. PDGM clinical group: Wound Why it's important: Questionable Encounter Under the PPS, wound care resulted in many of the least profitable episodes. Wound Care Plexus Services Cloud Hosting Free PDGM calculator. Home Health Wound Care Flow Sheet. Q: The PDGM system suggests home health clinicians will be seeing more clinically complex patients in 2020 and beyond. Specific actions to take for each PDGM risk factor, including coding, non-groupable diagnoses, LUPA avoidance and management, chronic care management, and therapy management How to drive growth for your organization through institutional referral strategies and the use of specialty programs, including wound care and complex nursing. That much was confirmed when CMS applied the PDGM case-mix formula to 2017 claims data. Professional wound analytics report. How to elevate your commercial team's knowledge of wound care so they can add more value to their customers now and in the future; How to engage and educate your customers in times of crisis; How to understand how your customers are being impacted by PDPM and PDGM and a whole lot more. PDGM DIAGNOSIS SUBGROUPS WOUND& SKIN PDGM DIAGNOSISSUBGROUPS PROGRAM GOALS 2 ©RBC Limited 2019 www. stage of pressure ulcer site. PDGM acknowledges that wounds are high resource utilizers in staff and supplies by providing the wound clinical grouping with the highest reimbursement potential. 8646 2BC21 Neuro-High Early-institutional 2 1. This new model is especially relevant for wound care patients, who often require complex, chronic care for extended periods of time - with a wound taking 311 days to heal on average. "McBee Clinical Consulting Manager Laurie Salmons, RN, BS, will present with Corstrata Director of Wound Services Myra Varnado, RN, BS, CWOCN, CFCN, on March 20 at 2. The long-awaited Patient-Driven Groupings Model (PDGM) is finally here, marking the biggest home health reimbursement overhaul in two decades. Drive conversations with network partners to increase occupancy. Join us as we look through the lens of therapists, nurses, and care managers, providing key guidance for planning a 30-day PDGM payment period and achieving best practice utilization management. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. PDGM 30 Day Payment Periods Prepared by Healthcare Provider Solutions. View Infographic. Home Care Association of Washington. With PDGM, the reported diagnoses (ICD-10-CM), and specific items coded on the Outcome and. As part of its PDGM-related wound care push, Advocate Aurora is working with Medline, a Northfield, Illinois-based manufacturer and distributor of medical supplies with more than 20,000 employees. Therefore, it is important to implement or maintain …. This means for each 60-day episode, agencies will potentially file 2 RAPs and 2 final claims. Diabetes: The Impact on Wound Care Today. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Get your Home Health PDGM Strategy Tool-kit today. "[Some] have been preparing their wound care groups, bringing together a group of nurses who would be focused on wound care, complex cases," Cannon told HHCN. Watch this webinar for strategies of effective care under the Patient-Driven Groupings Model and best practices for agency leadership development. Each of the 432 HHRGs will be associated with one of six acuity categories. Available ON-DEMAND. 70) Complex Nursing Interventions 5. Improve Your Patient's Quality of Life Today. The Patient-Driven Groupings Model (PDGM) uses 30-day periods as a basis for payment. Breaking Down PDPM and PDGM with VGM Wound Care and 3M Reimbursement changes can be a challenge to keep track of in the healthcare industry. Senior Management. 00 became effective on October 1, 2020. The second 30-day stretch and beyond will. • The PDGM is a new payment model for the Home Health Prospective Payment System (HH PPS) that relies more heavily on clinical characteristics and other patient information to place home health periods of care into meaningful payment categories and eliminates the use of therapy service thresholds. Home Health PPS Grouper Software (HHGS) CMS. Patient Eligibility Criteria Services Furnished. With Synzi, the wound care specialist's productivity is optimized as s/he can see multiple patients throughout the day vs. Wound Care Advantage Under the Patient-Groupings Driven Model; Did you know? Under PDGM, wound care presents the highest potential reimbursement opportunity. Highlight the differences in visit utilization based on diagnosis and other patient attributes. With the shift from volume-based to value-based treatment reimbursement, the efficiency of care becomes more important than ever. Gaboury, COS-C and Cindy Miller-Mikolajczyl, RN: EVENT. Our dedicated Wound Certified nurses provide holistic approach to chronic wound care, focusing on wounds that are slow to heal and other complex wound care needs. Distraction therapy can be particularly useful with children. PDGM Details Source and Timing Avg Reimb Community Early $2,164. Early or late: Only the first 30-day episode counts as. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. In conjunction with the implementation of the PDGM, there. 302A might also be used to specify. Under PDGM, an episode of care is now 30 days, versus the previous 60-day episode. In many ways, the CMS shift to patient-driven reimbursement presents opportunities for wound care nurses to shine, McGill says. Last November, when the new case-mix classification model was announced, PointClickCare committed to evolving its home care solution, as well as developing resources and tools to help providers manage the change to PDGM with. From the May 1, 2019 Issue of McKnight's Long Term Care News. Reasons why episodes can't be assigned to a clinical group are either because the primary diagnosis code was (a) Non-speciic, (b) Unlikely to have required skilled home health care, or (c) Indicative of a diagnosis that was too acute for home health care. Achieve Profitable Wound Care Referrals. The biggest improvements and innovations in efficiency of care under PDGM will continue to come from our biggest assets—our staff on the front lines. In CY 2019, CMS finalized PDGM, an alternative case-mix method in the final Home Health Prospective Payment System (HH PPS) RateUpdate. For example, wound care will be associated with higher reimbursement, as it requires more home health resources than many other ailments. "That's in line with PDGM, of course, but that also allows agencies to keep people at home — not in the hospital, where they can get infections and whatnot. Under the Patient Driven Groupings Model (PDGM) case-mix recalibration, agencies have a better chance to be successful. The final 2020 HH rule does not make changes in the structure of the PDGM or the 30-day unit of payment, and is. CMS has passed a new Patient-Driven Groupings Model (PDGM) that goes into effect beginning January 1, 2020. In this white paper, you'll learn best practices for wound care under the new payment. Her physician has ordered wound care and eight weeks of oral antibiotics. Currently, LUPA occurs when there are four or fewer visits during a 60-day episode of care. 302A is a billable diagnosis code used to specify a medical diagnosis of unspecified open wound, left foot, initial encounter. Under the Patient-Driven Groupings Model (PDGM), wound care will be one of the highest categories of reimbursement. Patient-Driven Groupings Model (PDGM) Susan Riekert, MSN, RN, COS-C2, is an Assistant Professor of Nursing, Queensborough Community College, Bayside, New York and a second year PhD student, The Graduate Center, CUNY. Participants will learn about the challenges in growing a wound care program and the strategies that Select Home Care implemented to succeed. All surgical aftercare codes indicate the patient has had a procedure of some kind, most commonly. Accurate Home Health Diagnosis Coding for PDGM Success. PDGM replaces the old 60-day home health episode with a 30-day episode. Under the Patient-Driven Groupings Model (PDGM) case-mix recalibration, agencies have a better chance to be successful. Odinwell's technology will fill a vital need (void). stage of pressure ulcer site. Use technology to better understand market value and use it to improve referrals. Professional wound analytics report. Improperly treated wounds have the. Home Health Executive Forecast: 2020 Trends, Challenges and Opportunities. coding for wound. RCD Success Bundle. Casamba provides EMR software for post-acute care providers, contract therapy, skilled nursing facilities, outpatient clinics and home health and hospice care settings. One of the many changes brought on by the Patient-Driven Groupings Model (PDGM) is the growing importance of wound care. Wound care patients are the most expensive to care for in home health. Building a Wound Program of Excellence Under PDGM. To read the article in its entirety, please login or subscribe to Homecare Direction. In general, wound care will become an essential service because wound care patients are often discharged to home health agencies from institutional settings with …. Value-Based Care, PDGM Sparks Home Health Dealmaking Activity Home Health Care News "care" - Google News September 02, 2021 at 04:15AM https://ift. Complex Nursing Interventions 5. M1340 & M1342 Surgical wound. We not only accept all insurance but we will also see patients that do not have insurance and we DO NOT have a collection agency. April 03, 2019. • The PDGM is a new payment model for the Home Health Prospective Payment System (HH PPS) that relies more heavily on clinical characteristics and other patient information to place home health periods of care into meaningful payment categories and eliminates the use of therapy service thresholds. We are home health and hospice experts who care about your business as passionately as you do. PDGM 30 Day Payment Periods Prepared by Healthcare Provider Solutions. Behavioral Health Care 6. Breaking Down PDPM and PDGM with VGM Wound Care and 3M Reimbursement changes can be a challenge to keep track of in the healthcare industry. PDGM Details Source and Timing Avg Reimb Wound 1 13 13 9 Grand Total 94 128 137 63 10. With PDGM, the reported diagnoses (ICD-10-CM), and specific items coded on the Outcome and. Your devoted resource to help your home health agency become PDGM Ready before 2020!. When installation is complete, you may choose to click the three dots in the top-right corner and select Enable auto update to ensure you always have the latest version of the mobile. 25 Estimated Impact National Impact Facility Type Pct Facility Based +3. Change can be intimidating. Medicare will cover primary and secondary wound dressings for your injuries. Details: 12:45-2:05 PM, Citron West. The term itself stands for "Low Utilization Payment Adjustment," which is a standard per-visit payment for episodes of care with a low number of visits. Before PDGM, the HH PPS was based on the therapy volume as a threshold for reimbursement. The new system is actually expected to materially raise average wound care reimbursements in the home health setting, but like PDPM disincentivizes higher utilizations of clinical and product resources. Additionally, the number of therapy visits no longer counts toward home health payment. Optimizing and Managing Wound Care Patient Outcomes Under the PDGM. With PDGM, the reported diagnoses (ICD-10-CM), and specific items coded on the Outcome and. For example, a patient with a diabetic foot wound, being seen for wound care will be in the "Wounds" Clinical Grouping. CMS moves forward with the new HH payment model, the PDGM, already finalized under its 2019 HH rule. Increase Revenue; Improve and expand your payer mix to include more patients and advanced wound care cases and increase reimbursement. 08 Institutional Early $2,483. Oct 23, 2020 · Chronic care management — Amazon, Google, and other B2C companies' biggest impact will be in the personal health arena. Available ON-DEMAND. Swift Medical. The resources listed below are provided to help your agency stay current. PDGM Decision Tree. 1 after originally being proposed by the Centers for Medicare & Medicaid Services (CMS) in July 2018. The PDGM will be implemented for home health periods of care starting on and after January 1, 2020. Other Wound Care Skills • While a wound might not require this skilled nursing care, the wound may still require skilled monitoring for signs and symptoms of infection or complication (see §40. Integrated into our Care Pathways to Success, this simple, but sophisticated PDGM Calculator projects care needs, minimizes time required for verbal orders, and facilitates good documentation practices as well. What is your strategy for providing effective and efficient wound healing? In this episode, Tayo Clemmons explores some of the challenges as we move further into PDGM. Started by lvandorn August 2020 Home Care Coding General. That much was confirmed when CMS applied the PDGM case-mix formula to 2017 claims data. Get your Home Health PDGM Strategy Tool-kit today. Wound care process will be more important in PDGM, improve now Homecare Direction, December 6, 2019. 8216 2IC31 MMTA-Endocrine-high Early-institutional 2 1. PDGM To Require Even More Cooperation Between Clinician, Biller. Senior Management. Heather Trumm, Director of VGM Wound Care interviews Yesenia Banks, Reimbursement Manager of 3M KCI, to help us better understand the recent Medicare reimbursement changes known as PDPM and PDGM. In this white paper, you'll learn best practices for wound care under the new payment. What we do know is that wound patients have one of the highest potential reimbursement opportunities of the new 12 clinical grouping categories. STAGING `Classification System for pressure ulcer `Describes the depth of tissue destruction visible `If necrotic tissue present may not be able to accurately stage wound `NPUAP Position Statement Reverse staging should not be used to describe the healing of pressure ulcers The body is unable to regenerate certain tissues (fat, fascia, muscle), therefore, reverse staging is. Audiology services are excluded from the HH PPS and may be billed independently by the audiologist under the Part B benefit (Medicare Physician Fee Schedule). The author declares no conflicts of interest. Accurate, patient-specific coding is imperative to success with the Patient-Driven Groupings Model or PDGM. 89 Other abnormalities of episode of care Non-Valid Expert in Healthcare Coding, Billing, and More. 1 launch of Medicare's complex new payment methodology. By partnering with Vohra Wound Physicians, home health agencies can save valuable time, money, and resources, while. The Value of Therapy Under PDGM "EARNED" Price $21. Wound Care Program The Trinity Health At Home Wound Care Program is a specialty program that focuses not only on the treatment and healing of wounds, but also o. Participants will learn about the challenges in growing a wound care program and the strategies that Select Home Care implemented to succeed. Begin by taking a look at the 12 clinical groups under PDGM and their related care provisions. PDGM places patients into meaningful payment categories PDGM eliminates the use of therapy service thresholds PDGM changed the home health payment from a 60-day episode to a 30 day period Health Regulation Division, Licensing & Certification 15 PPS to PDGM ITEMS THAT HAVE NOT CHANGED •Conditions of Participation (CoP) •Plan of Care every 60. What is your strategy for providing effective and efficient wound healing? In this episode, Tayo Clemmons explores some of the challenges as we move further into PDGM. We not only accept all insurance but we will also see patients that do not have insurance and we DO NOT have a collection agency. 0% Freestanding -0. 51 for 60-day episodes and 0. Harder, president of Chicago-based C3 Advisors, LLC, and executive management consultant Jill Dyer, BSN, RN, HCS-D, HCS-O, President of JID Consulting and Coding, LLC, for a free 90-minute webinar. Oct 23, 2020 · Chronic care management — Amazon, Google, and other B2C companies' biggest impact will be in the personal health arena. tt/2N6arSB Shoes Man Tutorial Pos News Update Meme Update. It is the most significant change in Medicare reimbursement for home health agencies since the change from per visit, cost-based reimbursement to the Prospective Payment System (PPS) in 2000 (with the Interim. Jul 02, 2019 · On January 1, 2020, Medicare is scheduled to launch a new reimbursement system for home health: the patient-driven groupings model (PDGM). Before PDGM, the HH PPS was based on the therapy volume as a threshold for reimbursement. A variety of patient clinical characteristics create the 12 clinical groups of PDGM. Proposes Medicare Payment Reform under a new name: "Patient-Driven Groupings Model," or PDGM. " Click HERE to register and view a full video replay. 39 Wound 1 13 13 9 Grand Total 94 128 137 63 10 • For billing purposes, PDGM proposes to keep the RAP/final claim billing. The PDGM would group these 30-day periods into clinical categories based on a variety of patient characteristics. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. Call our toll free number at: 1-877-902-9726 ext 43312. Through telemedicine, get the flexibility. Getting Wound Care Right from the Start. Primary dressings apply directly to your injury, and secondary forms of dressings are like aids to the primary dressings. PDGM 30 Day Payment Periods SOC Date End of Period SOC Date End of Period SOC Date End of Period 07/01/21 thru 07/30/21 08/01/21 thru 08/30/21 09/01/21 thru 09/30/21 07/02/21 thru 07/31/21 08/02/21 thru 08/31/21 09/02/21 thru 10/01/21. Assessment of pain in wound care should be an ongoing process. Oct 01, 2020 · Z48. The PDGM workgroup makes the following observations and recommendations regarding specific codes and, in some cases, regarding groups of codes. PDGM CLINICAL GROUP M62. • The PDGM is a new payment model for the Home Health Prospective Payment System (HH PPS) that relies more heavily on clinical characteristics and other patient …. Topics of teaching include colostomy care, insulin administration, prosthesis management, catheter care, G-tube feedings, IV access sites, and wound care. Gain market intelligence to focus on higher value referral sources. The new model, the Patient-Driven Groupings Model (PDGM), will go into effect on January 1st, 2020. • The PDGM is a new payment model for the Home Health Prospective Payment System (HH PPS) that relies more heavily on clinical characteristics and other patient information to place home health periods of care into meaningful payment categories and eliminates the use of therapy service thresholds. 5727 Baker Way NW Suite 200. PDGM and COVID-19 have changed the home health landscape dramatically! As a result, home health agencies (HHAs) are struggling to navigate new reimbursement regulations, declining caseload volumes (due to cessation of elective surgeries), changing CDC guidelines, staff anxieties/shortages, and concerns about PPE accessibility. Before PDGM, the HH PPS was based on the therapy volume as a threshold for reimbursement. It makes sense to break your 60-day episodes in half since PDGM has 30-day payment periods. But that means it's also one of the top targets of …. The long-awaited Patient-Driven Groupings Model (PDGM) is finally here, marking the biggest home health reimbursement overhaul in two decades. Wound patients cost HHA a lot of time and resources, so wound is reimbursed higher. With PDGM slashing support of chronic care management, in the specific scenario of home health care, patients will turn to tech giants’ experiments in healthtech to take advantage of inexpensive, non-hospital solutions. 1 launch of Medicare's complex new payment methodology. These examples may be used as a template for agencies to create diagnoses-specific query tools. The new payment. 2) Negative pressure wound therapy. Improperly treated wounds have the. Understand how to best manage your wound care patients based on clinical picture of the patient. Home Health Executive Forecast: 2020 Trends, Challenges and Opportunities. As part of its PDGM-related wound care push, Advocate Aurora is working with Medline, a Northfield, Illinois-based manufacturer and distributor of medical supplies with more than 20,000 employees. We not only accept all insurance but we will also see patients that do not have insurance and we DO NOT have a collection agency. Under the rule, QE's will be rejected and returned to provider. Wound care patients have never been easy to manage, and now the industry must work to achieve success with this difficult population within the limitations of the …. Casamba provides EMR software for post-acute care providers, contract therapy, skilled nursing facilities, outpatient clinics and home health and hospice care settings. how agencies are to indicate that an aftercare patient requires wound care. Preparing For PDGM | PointClickCare. Wound Care Education Institute - members only benefit WCEI is an educational center of excellence supporting 30k+ clinical professionals in all care settings. Dec 06, 2019 · Wound care process will be more important in PDGM, improve now Homecare Direction, December 6, 2019. 00 became effective on October 1, 2020. HH PPS v PDGM Crosswalk-QIRT ©2019 inpatient psychiatric hospital, or long-term care hospital) Community • Wound • Pressure ulcers. Gaboury, COS-C and Cindy Miller-Mikolajczyl, RN: EVENT. Whether it be best practices, consumer protection, education, or general information about our industry, AZNHA is the foremost leader for in-home care. English: 1-877-902-9726 Ext 43397. The term itself stands for "Low Utilization Payment Adjustment," which is a standard per-visit payment for episodes of care with a low number of visits. Published by the Post-Acute Care Collaborative In November 2018, CMS announced an overhaul of the way home health agencies will be reimbursed under Medicare. Reimbursement changes can be a challenge to keep track of in the healthcare industry. Online: GoToMeeting. Indeed, wound care is one of the most frequent clinical groupings and the one …. Automatic measurement of any shape wounds (length, width and area) Visual tracking of wound progress and status in real-time. All subsequent 30-day periods in the sequence (second or later) are classified as late. Optimizing and Managing Wound Care Patient Outcomes Under the PDGM. The 2021 edition of ICD-10-CM Z48. These examples may be used as a template for agencies to create diagnoses-specific query tools. Other Wound Care Skills • While a wound might not require this skilled nursing care, the wound may still require skilled monitoring for signs and symptoms of infection or complication (see §40. Medicare will cover primary and secondary wound dressings for your injuries. The long-awaited Patient-Driven Groupings Model (PDGM) is finally here, marking the biggest home health reimbursement overhaul in two decades. Integrated throughout the Wound Manager, users have continuous access to detailed training information and resources when documenting wound care. Consider the setting from which each of those patients came — institutional or community. STAGING `Classification System for pressure ulcer `Describes the depth of tissue destruction visible `If necrotic tissue present may not be able to accurately stage wound `NPUAP Position Statement Reverse staging should not be used to describe the healing of pressure ulcers The body is unable to regenerate certain tissues (fat, fascia, muscle), therefore, reverse staging is. PDGM Details Source and Timing Avg Reimb Wound 1 13 13 9 Grand Total 94 128 137 63 10. Also, our C. PointClickCare is the #1 cloud-based healthcare software provider helping long-term and post-acute care (LTPAC) providers navigate the new realities of value-based healthcare. Similar to PDGM. That much was confirmed when CMS applied the PDGM case-mix formula to 2017 claims data. One of the many changes brought on by the Patient-Driven Groupings Model (PDGM) is the growing importance of wound care. CMS has provided additional points to …. Building a Wound Program of Excellence Under PDGM. Register Here. PDGM Visit Utilization for Cerebrovascular Accident (CVA) Now that we will have a 30 day billing cycle under Medicare's Patient Driven Groupings Model (PDGM), there's no reason not to strive to achieve patient goals within this 30 day window. In fact, of the 12 clinical groupings under the new payment model, wounds present the highest potential for reimbursement, according to Swift Medical statistics. On January 1, 2020, Medicare is scheduled to launch a new reimbursement system for home health: the patient-driven groupings model (PDGM). The PDGM Model currently provides a primary diagnosis clinical grouping of wounds which averages a case mix range 25% higher than the current PPS. PDGM clinical group: Wound Why it's important: Questionable Encounter Under the PPS, wound care resulted in many of the least profitable episodes. Medicare home health …. Under the Patient-Driven Groupings Model (PDGM) case-mix recalibration, agencies have a better chance to be successful. Available ON-DEMAND Presented on: Wednesday, January 29, 2020 Presented by: Dea Kent, DNP, RN, NP-C …. Shortof breath with talking and ambulation of 1‐2 feet. 39 Wound 1 13 13 9 Grand Total 94 128 137 63 10 • For billing purposes, PDGM proposes to keep the RAP/final claim billing. Note whether care is early or late. The Patient-Driven Groupings Model (PDGM) uses 30-day periods as a basis for payment. 8646 2BC21 Neuro-High Early-institutional 2 1. With the shift from volume-based to value-based treatment reimbursement, the efficiency of care becomes more important than ever. Published Date October 16, 2020. Highlight the differences in visit utilization based on diagnosis and other patient attributes. Clinical Support and Education. HIPPS groups with the highest case-mix weights under PDGM The following 15 HIPPS groups will have the highest case-mix weights under PDGM, according to the 2019 PPS final rule. 89 Other abnormalities of episode of care Non-Valid Expert in Healthcare Coding, Billing, and More. Harder, president of Chicago-based C3 Advisors, LLC, and executive management consultant Jill Dyer, BSN, RN, HCS-D, HCS-O, President of JID Consulting and Coding, LLC, for a free 90-minute webinar. Even though wound care had the highest increase at 10%, the wound supplies created a negative impact by 7%. With the launch of PDGM, which began on Jan. 7 visits per 30-day period. PDGM To Require Even More Cooperation Between Clinician, Biller. One of the many changes brought on by the Patient-Driven Groupings Model (PDGM) is the growing importance of wound care. 6501 N Meridian St, Indianapolis, IN 46260. Whether it be best practices, consumer protection, education, or general information about our industry, AZNHA is the foremost leader for in-home care. Wound Care Advantage Under the Patient-Groupings Driven Model; Did you know? Under PDGM, wound care presents the highest potential reimbursement opportunity. that wound care patients make up an average 10. The calculator is integrated with your CareRecord. Review Choice Prep Quick View. Wound patients cost HHA a lot of time and resources, so wound is reimbursed higher. As a contract therapy provider serving home health agencies, you may be concerned about operating in a world where patient characteristics, not volume of therapy visits, drive reimbursement. Inpatient Wound Care: Bad News for Jack. Oct 16, 2020 · Clinical leadership & care coordination under PDGM. 540 views 5 comments. Become a PDGM Master. PDGM To Require Even More Cooperation Between Clinician, Biller. The 2021 edition of ICD-10-CM Z48. 9 visits per 30-day period. The ICD-10-CM code S91. Emily Greenstein is a Certified Adult-Geriatric Nurse Practitioner and Certified Wound and Ostomy Nurse. 24, 2019 /PRNewswire/ -- Axxess, a leading home healthcare technology company, is partnering with Swift Medical, the wor. 2) Negative pressure wound therapy. Patient-Driven Groupings Model (PDGM) The Quality Transformation Has Begun. 51 for 60-day episodes and 0. Finally, it all came together - some elements animated - on the website as well as in a digital sales presentation. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. In general, wound care will become an essential service because wound care patients are often discharged to home health agencies from institutional settings with …. Interim's home care clinicians are trained and experienced in wound management, the healing process, and the selection and use of effective wound products and devices. Let's look at how accurate diagnosis coding. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. April 03, 2019. OASIS (Outcome and Assessment Information Set) is the official data collection tool used by Medicare to ensure standard quality care is being provided by home health agencies across the United States. Accurate, patient-specific coding is imperative to success with the Patient-Driven Groupings Model or PDGM. "That's in line with PDGM, of course, but that also allows agencies to keep people at home — not in the hospital, where they can get infections and whatnot. Accurate Home Health Diagnosis Coding for PDGM Success. 81 Muscle weakness (generalized) 3 Too vague to develop POC need underlying etiology Non-Valid R26. Secure HIPAA compliant Google enterprise cloud servers. Topics of teaching include colostomy care, insulin administration, prosthesis management, catheter care, G-tube feedings, IV access sites, and wound care. Getting Wound Care Right from the Start. Her physician has ordered wound care and eight weeks of oral antibiotics. Wound Care 27 Visits by Discipline by Period Sequence by Clinical Group Musculoskeletal Rehabilitation Period Sequence 30 Day PDGM Periods PDGM Reimbursement SN …. Dec 06, 2019 · Wound care process will be more important in PDGM, improve now Homecare Direction, December 6, 2019. With bonus intake form! Quick View. Complex Nursing Interventions 5. The specialized care areas cited most frequently as current offerings were wound care, cardiac disease, chronic obstructive pulmonary disease, diabetes and joint replacement. Cost management is a big factor in the impact HHA will have. Gaboury, COS-C and Cindy Miller-Mikolajczyl, RN: EVENT. In conjunction with the implementation of the PDGM, there. Automatic measurement of any shape wounds (length, width and area) Visual tracking of wound progress and status in real-time. Neuro/Stroke Rehabilitation 3. CMS has provided additional points to …. Diabetes: The Impact on Wound Care Today. The calculator is integrated with your CareRecord. In fact, of the 12 clinical groupings under the new payment model, wounds present the highest potential for reimbursement, according to Swift Medical statistics. Oct 01, 2020 · Z48. For example, wound care will be associated with higher reimbursement, as it requires more home health resources than many other ailments. 6501 N Meridian St, Indianapolis, IN 46260. David Chacko, President at Select Home Care will be talking about why he chose to focus on growing his wound care program under PDGM. PDGM and COVID-19 have changed the home health landscape dramatically! As a result, home health agencies (HHAs) are struggling to navigate new reimbursement regulations, declining caseload volumes (due to cessation of elective surgeries), changing CDC guidelines, staff anxieties/shortages, and concerns about PPE accessibility. PDGM also eliminates the current system of counting physical therapy visits. The PDGM is going to be quite interesting and difficult for some agencies to grasp. 1, wound care has become a more favorable reimbursement opportunity. Here are a few things home health agencies need to know as PDGM, OASIS D-1 take effect While most of the nation is catching up on sleep after staying up for midnight champagne toasts or headed to the gym to work off the extra pounds from too many holiday cookies, the home health industry is poised for post-holiday fallout from the Jan. 89 Other abnormalities of episode of care Non-Valid Expert in Healthcare Coding, Billing, and More. Harder, president of Chicago-based C3 Advisors, LLC, and executive management consultant Jill Dyer, BSN, RN, HCS-D, HCS-O, President of JID Consulting and Coding, LLC, for a free 90-minute webinar. PDGM Home Care Infographic PDGM will require agencies to move fast, do more, and be specific with their referral and patient information. As of January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) is changing how Medicare reimburses for home health services. All subsequent 30-day periods in the sequence (second or later) are classified as late. Home Health Executive Forecast: 2020 Trends, Challenges and Opportunities. PointClickCare's cross-continuum solution can help you through PDGM. PDGM CLINICAL GROUP M62. This means for each 60-day episode, agencies will potentially file 2 RAPs and 2 final claims. how agencies are to indicate that an aftercare patient requires wound care. Become a PDGM Master. Observation and Assessment of the Wound. Accurate and consistent digital measurement of wounds. In this white paper, you'll learn best practices for wound care under the new payment. 81 Muscle weakness (generalized) 3 Too vague to develop POC need underlying etiology Non-Valid R26. Breaking Down PDPM and PDGM with VGM Wound Care and 3M Reimbursement changes can be a challenge to keep track of in the healthcare industry. For both instructors there are no financial interests beyond the production of this course. Integrated into our Care Pathways to Success, this simple, but sophisticated PDGM Calculator projects care needs, minimizes time required for verbal orders, and facilitates good documentation practices as well. Have more questions?. Patient-Driven Grouping Model (PDGM) Changes being implemented January 1, 2020. Under the rule, QE's will be rejected and returned to provider. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. To be eligible for Medicare home health services, a physician must certify that a patient: 1. Last November, when the new case-mix classification model was announced, PointClickCare committed to evolving its home care solution, as well as developing resources and tools to help providers manage the change to PDGM with. The story goes on to note that in preparation for wound care, home health providers should train staff and ensure that they have the right staff - including those …. Before diving into the impacts of PDGM and the role that telehealth will play in this major transition in home health, be sure to get caught up on the PDGM legislation. Accurate Home Health Diagnosis Coding for PDGM Success. Available ON-DEMAND. PDPM webinar: "Quality Outcomes and Use of Wound Modalities for PDPM. 00 became effective on October 1, 2020. Heather Trumm, Director of VGM Wound Care interviews Yesenia Banks, Reimbursement Manager of 3M KCI, to help us better understand the recent Medicare reimbursement changes known as PDPM and PDGM. The final 2020 HH rule does not make changes in the structure of the PDGM or the 30-day unit of payment, and is. PDGM: PDGM Analysis: Wound Care Impact presented by Melinda A. With the shift from volume-based to value-based treatment reimbursement, the efficiency of care becomes more important than ever. that wound care patients make up an average 10. National Alliance of Wound Care and Ostomy (NAWCO®) is the national accrediting board for the prestigious Wound Care Certification (WCC®), Diabetic Wound Certification (DWC®) and. Wound patients cost HHA a lot of time and resources, so wound is reimbursed higher. 1 launch of Medicare's complex new payment methodology. Last November, when the new case-mix classification model was announced, PointClickCare committed to evolving its home care solution, as well as developing resources and tools to help providers manage the change to PDGM with. When it comes to wound care, that means agencies should focus on wound care patients coming from institutions as opposed to those coming from primary care, since these tend to be more complex. As a contract therapy provider serving home health agencies, you may be concerned about operating in a world where patient characteristics, not volume of therapy visits, drive reimbursement. 70) Complex Nursing Interventions 5. David Chacko, President at Select Home Care will be talking about why he chose to focus on growing his wound care program under PDGM. Hospitals are dealing with a high 30-day readmission rate for certain complex wounds, including pressure injuries, diabetic foot ulcers, and surgical wounds with complications. Medicare will cover primary and secondary wound dressings for your injuries. in PDGM Currently in home care, agencies list "therapy diagnoses" 2CC31 Wound-High Early-Institutional 2 1. 6501 N Meridian St, Indianapolis, IN 46260. We've simplified it for you with these resources designed to take you through a three-step process to help face the new quality-driven world of PDGM with confidence. Even though wound care had the highest increase at 10%, the wound supplies created a negative impact by 7%. Similar to the model in place for nearly two decades, PDGM will group patients by characteristics, figure an average for what it costs to take care of people in that group, and pay home health agencies a set fee per patient to take care of them. Under the Patient-Driven Groupings Model (PDGM) case-mix recalibration, agencies have a better chance to be successful. Cost management is a big factor in the impact HHA will have. PDGM and COVID-19 have changed the home health landscape dramatically! As a result, home health agencies (HHAs) are struggling to navigate new reimbursement regulations, declining caseload volumes (due to cessation of elective surgeries), changing CDC guidelines, staff anxieties/shortages, and concerns about PPE accessibility. PDGM acknowledges that wounds are high resource utilizers in staff and supplies by providing the wound clinical grouping with the highest reimbursement potential. Published Date October 16, 2020. Clinicians such as RNs, PTs, and OTs have been introduced to wound management in school,…. When the Skilled Nursing Industry shifted to the Patient Driven Payment Model in October …. 56 for 30-day periods of care for 2020. Wound Care 27 Visits by Discipline by Period Sequence by Clinical Group Musculoskeletal Rehabilitation Period Sequence 30 Day PDGM Periods PDGM Reimbursement SN …. April 03, 2019. Shared EMR Access. Observation and Assessment of the Wound. Feel free to share this with your team and contact us if you have any. Primary dressings apply directly to your injury, and secondary forms of dressings are like aids to the primary dressings. com Recognize the PDGM Clinical Groupings & Sub-groups that Impact HH Case Mix in PDGM; Detail the Skin Subgroups that are Case Mix in PDGM; Apply the New PDGM Case Mix Model with Common Home Health Care Scenarios. Specific actions to take for each PDGM risk factor, including coding, non-groupable diagnoses, LUPA avoidance and management, chronic care management, and therapy management How to drive growth for your organization through institutional referral strategies and the use of specialty programs, including wound care and complex nursing. Address for correspondence: Danielle Pierotti, PhD, RN, CENP, Visiting Nurse Associations of America/ElevatingHOME, 2121 Crystal Drive, Suite 750, Arlington, VA 22202 ([email protected]). PDGM officially launched on Jan. Also, our C. SMART goals have been around for many years. Currently, LUPA occurs when there are four or fewer visits during a 60-day episode of care. HH PPS v PDGM Crosswalk-QIRT ©2019 inpatient psychiatric hospital, or long-term care hospital) Community • Wound • Pressure ulcers. The Checklist serves to ensure patient, family, and physician goals are met and the patient is fully prepared for discharge. (PDGM) Functional Level (OASIS Items) - (Low, Medium, High) Anticipates roughly 33% of periods of care will fall into each of the categories. Become a PDGM Master. The sites all care for similar patients and wound types and are supposed to be using the same three hydrocolloid dressings. Harder, president of C3 Advisors LLC, distills the complex PDGM story into a succinct list of key main points. Trilogy - WAM Overview. "This new partnership provides transformative technology solutions to our clients, and gives them another critical tool to help them thrive under PDGM. PDGM will require agencies to move fast, do more, and be specific with their referral and patient information. Though the burn was treated right away, it has failed to heal and has now become infected with MSSA. Heather Trumm, Director of VGM Wound Care interviews Yesenia Banks, Reimbursement Manager of 3M KCI, to help us better understand the recent Medicare reimbursement changes known as PDPM and PDGM. dedicating a significant portion of available time to driving to/from a patient's home. PointClickCare is the #1 cloud-based healthcare software provider helping long-term and post-acute care (LTPAC) providers navigate the new realities of value-based healthcare. A variety of patient clinical characteristics create the 12 clinical groups of PDGM. This content was built for Home Health Owners and Administrators. 8 hours ago The PDGM, or Home Health PPS Grouper Software (HHGS), relies more heavily on clinical characteristics and other patient information to place home health periods of care into meaningful payment categories and eliminates the use of therapy service thresholds. We created an infographic that explains how technology can ease that pain. Get your Home Health PDGM Strategy Tool-kit today. Prepare for the financial impact of PDGM CLINICAL GROUPINGS 4 Supplies are another factor to consider. Wound 1 13 13 9 Grand Total 94 128 137 63 10. The higher reimbursements associated with chronic wound patients are enticing, but nevertheless demand a much higher level of documentation and outcomes tracking than previously. Indeed, wound care is one of the most frequent clinical groupings and the one …. Participants will learn about the challenges in growing a wound care program and the strategies that Select Home Care implemented to succeed. However, payment is provided in 30-day periods of care. " "Wound management is a critical part of home care, and we're pleased to partner with Axxess to extend our accurate measurement and tracking technology to more patients, improve outcomes for. By partnering with Vohra Wound Physicians, home health agencies can save valuable time, money, and resources, while. QIRT (Quality In Real Time) leads the post-acute industry in. PDGM Home Care Infographic PDGM will require agencies to move fast, do more, and be specific with their referral and patient information. Please send your wound treatment-related questions to "Ask the Expert" at [email protected] The PDGM is going to be quite interesting and difficult for some agencies to grasp. Similar to the model in place for nearly two decades, PDGM will group patients by characteristics, figure an average for what it costs to take care of people in that group, and pay home health agencies a set fee per patient to take care of them. With bonus intake form! Quick View. (PDGM) Functional Level (OASIS Items) - (Low, Medium, High) Anticipates roughly 33% of periods of care will fall into each of the categories. Patient-Driven Grouping Model (PDGM) Changes being implemented January 1, 2020. Jul 02, 2019 · On January 1, 2020, Medicare is scheduled to launch a new reimbursement system for home health: the patient-driven groupings model (PDGM). Regardless of the initial stress and …. 3) Create Two-Way Channels to Share Successes and Challenges. PDGM Home Care Infographic PDGM will require agencies to move fast, do more, and be specific with their referral and patient information. The second 30-day stretch and beyond will. Streamline the operation of your agency and improve both your onsite clinical tasks and back office…. Under the rule, QE's will be rejected and returned to provider. But providers can't afford to overlook PDGM's impact on wound care, either. PDGM, the new home health payment rule taking effect on January 1, 2020, will be here faster than you think. The biggest improvements and innovations in efficiency of care under PDGM will continue to come from our biggest assets—our staff on the front lines. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Even though the non-routine supply (NRS) add-on has been eliminated, the reimbursement points will allow agencies the opportunity to care for wound patients who. PDGM: PDGM Analysis: Wound Care Impact presented by Melinda A. Arrangements for continued care, community resources, and home exercise programs are all addressed through the discharge planning process. " Click HERE to register and view a full video replay. 1 after originally being proposed by the Centers for Medicare & Medicaid Services (CMS) in July 2018. Wound Care Advantage Under the Patient-Groupings Driven Model; Did you know? Under PDGM, wound care presents the highest potential reimbursement opportunity. Return to home. April 03, 2019. Early or late: Only the first 30-day episode counts as. To read the article in its entirety, please login or subscribe to Homecare Direction. Patient-Driven Grouping Model (PDGM) Changes being implemented January 1, 2020. Confused about the home health F2F. 540 views 5 comments. 0 out of 0 found this helpful. A strong clinical episode management program is critical to ensure sustained, efficient, cost-effective and uncompromised quality care delivery under the PDGM program! Lastly, this workshop will review the full-blown emphasis of ICD-10 coding under PDGM and how agencies will have to monitor to ensure the specificity of coding for their patient. "This new partnership provides transformative technology solutions to our clients, and gives them another critical tool to help them thrive under PDGM. 7546 2CB31 Wound-Medium Early-institutional 2 1. Wound Care (CPT Codes 97597, 97598 and 11042-11047) 1. WoundTrack Advantages Over Traditional Wound Care Management Systems. PDGM replaces the old 60-day home health episode with a 30-day episode. Topics of teaching include colostomy care, insulin administration, prosthesis management, catheter care, G-tube feedings, IV access sites, and wound care. Because of this, these services can only be performed by or under the supervision of a registered. Through telemedicine, get the flexibility. To install the rebranded app, click the Install button. 361 views 0 comments. Therefore, our comparison between payments had the same utilization between the CY 2020 simulated 60-day episodes of care and the CY 2020 actual 30-day periods of care. Wound care patients have never been easy to manage, and now the industry must work to achieve success with this difficult population within the limitations of the …. View Infographic Skin and wound care can be a major pain for skilled nursing facilities. Change can be intimidating. Harder, president of Chicago-based C3 Advisors, LLC, and executive management consultant Jill Dyer, BSN, RN, HCS-D, HCS-O, President of JID Consulting and Coding, LLC, for a free 90-minute webinar. the course of care and tracked using our Discharge Readiness Checklist. Wound care is one of the highest categories of reimbursement under the Patient-Driven Groupings Model (PDGM). HIPPS groups with the highest case-mix weights under PDGM The following 15 HIPPS groups will have the highest case-mix weights under PDGM, according to the 2019 PPS final rule. Dec 06, 2019 · Wound care process will be more important in PDGM, improve now Homecare Direction, December 6, 2019. Professional wound analytics report. 39 Wound 1 13 13 9 Grand Total 94 128 137 63 10 • For billing purposes, PDGM proposes to keep the RAP/final claim billing. NOVEMBER 5, 2018. Under PDGM, the LUPA threshold will vary by HHRG and will be based on the 30 days of care. Reasons why episodes can't be assigned to a clinical group are either because the primary diagnosis code was (a) Non-speciic, (b) Unlikely to have required skilled home health care, or (c) Indicative of a diagnosis that was too acute for home health care. Swift Medical. When Nursing Does A Start of Care and Therapy Is Not Added at That Time for One Reason OR Another, But Is Added at A Later Date, Should the Therapist Complete the Follow-Up OASIS?. Review Choice Prep Quick View. The introduction of the pandemic while PDGM was so new introduced many challenges for home health. Under the Patient-Driven Groupings Model (PDGM), wound care will be one of the highest categories of reimbursement. Presented by: Eric Goodman, BSN, RN, CWOCN ….