PDGM Resources

The ADR|TPE|UPIC Audit Documentation

Submitting documentation that does not meet meet the requirements for payment can be avoided. Join us to learn what medicare expects and how you can meet those expectations.

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It's all about the cashflow in 2021 (Handouts)

With the 5-day RAP penalty coming in 2021, home health agencies who chose to submit their RAP's to CMS within 24-48 hours of the "From Date" will easily avoid the penalties while others struggle to maintain the status quo.

It's all about the cashflow in 2021

With the 5-day RAP penalty coming in 2021, home health agencies who chose to submit their RAP's to CMS within 24-48 hours of the "From Date" will easily avoid the penalties while others struggle to maintain the status quo.

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PDGM Solved

Described as the most comprehensive deep dive into the operational transitions required for moving from the PPS to PDGM payment model.

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OASIS E

What will Oasis E look like in FY2021? Click the button below to see the draft specification.

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Redesigning Your

If your Quality Assurance processes still take 7-12 days to process: OASIS Admissions, Implement Care Plans, and submit claims to the Intermediary. Join us to learn about implementing a single cycle Quality Assurance system that produces RAP ready claims in 48-72 hours on average. This will preserve your cash flow and your staffs sanity in the transition to PDGM this January.

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PDGM Solved

VNA decreases RAP submission time from 30 days to 1 day “Our Patients and Nurses love this approach”. "Nurses are Thrilled with the decrease in charting" "The OASIS is much more accurate and our outcomes have improved”. "I’ve had 100% positive feedback from the patients”. VNA Staff member

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PDGM Bootcamp

Well, it’s finally here! Welcome to PDGM, the “Patient-Driven Groupings Model.” This represents a truly revolutionary change in the Medicare payment system. As CMS turns the model upside down on January 1, 2020, the impact of PDGM will be felt for many years to come as many agencies won’t survive the change and those who do will operated in a completely different manner.

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PDGM Solved

Starting your PDGM transition early allows you plenty of time to overcome the hurdles associated with change. If your current days to RAP submission is near the national average of 12 days, you can expect the transition to a 48 hour RAP submission to take approximately 6 months. This webinar describes the importance of , and how you can improve your days to RAP metrics starting today .

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PDGM Solved

Systemness and Standardization drive the acute care providers success in Value based purchasing. Watch and understand how it will benefit your organization.

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Navigating the PDGM

There will be a data blackout in PDGM requiring new Quality Assurance processes.
Having a 5.0 STAR ratings did not bring your OASIS assessments to a RAP ready state in 12-48 hours, or did they?
Join us to learn about Big data vs Small data and how the use of proactive analytics will secure your future in PDGM

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5 changes You Must

Upgrading your agencies Care planning, Quality Assurance, and use of proactive OAISS analytics during the OASIS Assessments will provide you an edge over those who do not.

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Thriving in the

Providers worried about profit margins under CMS's proposed Home Health Grouping Model can take a breath. BUT! Providers who wish to THRIVE in PDGM need to eliminate the unwarranted and undesirable variables in the care we provide.

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Transitioning from

As an CMS region IX OASIS Coordinator, OperaCare's CIO watched almost 40% of the nation's home health agencies close. The closures were primarily due to Quality Assurance and Clinical Programming inefficiencies...

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Cowboy Cares

Cowboy Cares experienced a staffing decrease of 20%, an unduplicated census increases of 45%, and an overall revenue increase of 18% after implementing the OperaCare Quality Assurance solution

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SIVNA

This VNA has sustained a 50% increase in clinical productivity and eliminated 100% of a fterhours charting for every OAISS clinician. Averaging less than 12 hours from OASIS assessment to RAP submission, this VNA is ready for PDGM.

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MyCentric

In rural Texas, business is tough! MyCentric had to distinguish themselves as a new startup. They chose to focus on Quality, Cost of Care, and recruiting and retaining Nurses by using the OperaCare Solution to send their nurses home with no afterhours documentation. They grew the census from ZERO to 260 patients in less than 18 months.

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