Putting Together the PDGM Puzzle

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Join Selman-Holman to learn how to put together the puzzle pieces to power through the transition to the new Patient Driven Grouper Model.

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Putting Together the PDGM Puzzle

November 19-20, 2019 | Denton, TX Selman-Holman Office
December 10-11, 2019 | McAllen, TX Radisson McAllen Airport
December 17-18, 2019 | Houston, TX Braeburn Country Club


PDGM is the single biggest challenge for home health agencies in 20 years. The last major payment change was in 2000 and 30% of agencies didn’t survive that transition. Texas agencies are also coping with the Review Choice Demonstration on top of PDGM – even though there are no new regulations, the timing and submission requirements will place additional pressure on your organization’s processes and people!

Join Selman-Holman to learn how to put together the puzzle pieces to power through the transition to the new Patient Driven Grouper Model. Topics will include:

  • Coding for PDGM – learn how primary and secondary diagnoses will drive payment under PDGM; acceptable primary diagnosis codes and how to cope with diagnoses that will not be allowed; the query process to verify diagnoses that aren’t supported by the provider’s documentation; and tips to insure your coding processes are ready to meet the timing requirements for PDGM and RCD.
  • OASIS and PDGM – review the OASIS items used to calculate the functional score in the PDGM equation, with tips for accurate assessment and data collection; update with the changes coming for OASIS-D1; and discuss how the OASIS timepoints (especially the ROC and Other Follow-up) will influence the PDGM payment.
  • Managing LUPAs in 30 day payment periods; Operational processes for the RAP, the claim and OASIS transmission
  • Review Choice considerations – meeting the criteria for the F2F documentation and more  
  • Case Management to thrive under PDGM 


Speakers:

Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C, HCS-O, HCS-H

Teresa Northcutt, BSN, RN, COS-C, HCS-D


Continuing Education

13.0 Nursing Contact Hours
13.0 Administrator Hours

10.0 HCS-D Hours

5.0 HCS-O Hours



Selman-Holman Seminars Refund Policy (only applies to seminars put on by Selman-Holman & Associates)

Fourteen (14) days or more before scheduled seminar date = 100% refund

Thirteen (13) to seven (7) days before scheduled seminar date= 75% refund or credit

Six (6) days or less before scheduled seminar date= No refund or credit