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12/04/2019

CMS Issues Two New Articles on PDGM

There are two new Medicare Learning Network (MLN) articles pertaining to the Patient Driven Grouping Model (PDGM). 

MLN SE 19027 Overview of the Patient Driven Groupings Model is intended for physicians who order home health services. This article includes eligibility criteria for Medicare home health services as well as some information on certification in addition to PDGM. The section titled “The Importance of Diagnosis Reporting and Physician Documentation Under the PDGM” goes into more detail about the information physicians will need to provide to home health agencies.

While there is an overview of the PDGM, it is MLN SE 19028 Payments and Payment Adjustments under the PatientDriven Groupings Model  that provides a more detailed overall description of the key components of the PDGM. 

NAHC has developed a PDGM Resource Center which includes links to detailed education and information on PDGM and its impact on home health agencies. A  PDGM toolkit specifically for physicians will be released soon. Stay tuned to NAHC Report for more information. (Shared from the NAHC Report)

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