NAHC Webinar: What You Need to Know About Billing with PDGM

The National Association for Home Care & Hospice (NAHC) will present a new webinar, “PDGM: Billing In-Depth” on Wednesday, October 2, 2019 from 11:00 am to 1:00 PM Eastern Time. REGISTER NOW! This webinar will explore how the Patient Driven Groupings Model (PDGM) will revolutionize the billing process, including almost doubling the volume of claims to…

NAHC Webinar: What You Need to Know About Billing with PDGM

The National Association for Home Care & Hospice (NAHC) will present a new webinar, “PDGM: Billing In-Depth” on Thursday, September 26, 2019 from 2:00 PM to 4:00 PM Eastern Time. REGISTER NOW! This webinar will explore how the Patient Driven Groupings Model (PDGM) will revolutionize the billing process, including almost doubling the volume of claims…

CMS Releases Revised and Additional Instructions for Billing Under PDGM

The Centers for Medicare & Medicaid Services (CMS) released Transmittal 4378/Change Request (CR) – Home Health (HH) Patient-Driven Groupings Model (PDGM) – Revised and Additional Manual Instructions. This transmittal  revises additional sections of the CMS Claims Processing Manual, Chapter 10, to support the implementation of the HH PDGM and creates new sections to describe the…

Reminder: Hospices Should Drop Use of Billing “Workaround” for Transfers Starting July 2

Previously, the Centers for Medicare & Medicaid Services (CMS) issued the Medicare Learning Network (MLN) Matters® article, SE17014 (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNmattersArticles/downloads/SE17014.pdf).  This article instructed hospices to utilize a “workaround” under which a hospice that received a transfer patient reports the benefit period start date as the admission date on claims. This was necessary to ensure the days…