June 4, 2019
Update to CGS Home Health PDGM Web Page
CGS first told you about the new Home Health Patient-Driven Groupings Model (PDGM) Web page in a listserv email message on April 11, 2019. In addition to the resources provided by the Centers for Medicare & Medicaid Services (CMS), this page now includes a link to the CGS Overview: Home Health Patient-Driven Groupings Model (PDGM) Web page. This new resource includes the following information.
- Home Health Prospective Payment System (HH PPS) vs PDGM
- Claim Filing Elements
- Health Insurance Prospective Payment System (HIPPS) Code
- Low Utilization Payment Adjustment (LUPA)
- Partial Payment Adjustment
- Outlier Payment
Please share this information with your appropriate staff.