The most significant payment model change in over 20 years will move from concept to reality January 1, 2020. It may seem like there is plenty of time to prepare for impact, but this model will remove the relationship between the number of therapy visits and reimbursement, causing additional anxiety for therapists working in home health. This course will break down the key components of the Patient-Driven Groupings Model (PDGM) and provide strategies for therapists to articulate value beyond the visit.
Note: While this course contains broadly applicable information about PDGM, it was initially created on our sister site PhysicalTherapy.com, and the specific examples within it relate primarily to PT and OT.
Course created on February 18, 2019
- After this course, participants will be able to describe the key elements used to calculate payment in Patient-Driven Groupings Model (PDGM).
- After this course, participants will be able to define the role of therapy in the primary diagnosis driven groups.
- After this course, participants will be able to identify opportunities for therapists to quantify value in a PDGM environment.
|0-15 Minutes||Background, review of learner outcomes|
|15-45 Minutes||Impact of diagnosis coding in Patient-Driven Groupings Model (PDGM)|
|45-90 Minutes||Impact of function in the PDGM|
|90-105 Minutes||Role of therapy in the PDGM|
|105-120 Minutes||Summary, Q&A|
PT, MS, HCS-O
Cindy Krafft PT, MS, HCS-O brings more than 20 years of home health expertise that ranges from direct patient care to operational / management issues as well as a passion for understanding regulations. Years spent in the direct patient environment solidified that this was the optimal setting for the provision of effective and efficient interdisciplinary care as it focuses on functionality and patient-centered care delivery. Recognition that providing care in the home environment presents both unique opportunities and challenges is clearly evident in both training and consultation activities.
For the past 15 years, Cindy has been a nationally recognized educator in the areas of documentation, regulation, therapy utilization, and OASIS. She currently serves on multiple Technical Expert Panels with CMS Contractors working on clinical and payment reforms such as bundled payment care initiatives and alternatives to the current relationship between therapy visits and episodic payment. She was instrumental in reducing the burden placed on the industry due to the timing of functional reassessments by diligently working with both APTA and CMS. Her focus is on providing the knowledge and tools critical to the post-acute continuum of care to operationalize external requirements while keeping the driver of care where it needs to be – the needs of each patient being cared for in the home setting.
Cindy has been involved at the senior leadership level for the Home Health Section of the American Physical Therapy Association for more than 10 years and is the immediate Past President and current Federal Affairs Liaison of that organization. She is on the editorial board of Home Healthcare Now and a frequently sought out expert contributor for other home health publications. She has written 3 books – The How-to Guide to Therapy Documentation, An Interdisciplinary Approach to Home Care and the soon to be released Handbook to Home Health Therapy Documentation – and co-authored her fourth, The Post-Acute Care Guide to Maintenance Therapy with her business partner Diana Kornetti PT, MA, HCS-D.
Diana L Kornetti
PT, MA, HCS-D
Dee, a physical therapist for 30 years, is a past administrator and co-owner of a Medicare-certified home health agency. Dee now provides training and education to home health industry providers through a consulting business, Kornetti & Krafft Health Care Solutions, with her business partners Cindy Krafft and Sherry Teague, where she serves as its Chief Operations Officer.
Dee is nationally recognized as a speaker in the areas of home care, standardized tests and measures in the field of physical therapy, therapy training and staff development in the home health arena. Dee is the immediate past Editor of the Quarterly Report, a publication of the American Physical Therapy Association’s (APTA) Home Health Section, as well as a member of the Home Health Section’s Practice and Education Committees. She currently serves the Home Health Section as its President. Dee also currently serves as the President of the Association of Homecare Coding and Compliance, and a member of the Association of Home Care Coders Advisory Board and Panel of Experts.
Dee is a published researcher. on the Berg Balance Scale, and has co-authored APTA’s Home Health Section resources related to OASIS, goal writing and defensible documentation for the practicing therapist. Dee has contributed chapter updates to the Handbook of Home Health Care Administration 6th edition, and co-authored a book, The Post-Acute Care Guide to Maintenance Therapy.
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