CMS has issued the Final FY 2019 Home Health Payment Rule, and our industry’s journey to the new Patient-Driven Groupings Model (PDGM) has officially begun.
Two significant changes in PDGM from the proposed rule are:
- The implementation date is set for “on or after” as opposed to “on” January 1, 2020.
- CMS has increased the number of primary diagnosis clinical groupings to 12 (from six) by splitting Medication Management Teaching and Assessment (MMTA) into subgroups. This change has doubled the number of HHRGs to 432.
Presenter Gina Mazza discusses PDGM, key changes from the proposed rule and insights on what leaders should do next.
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