NEMEP Session # 5 NEW MARKET OPPORTUNITY

  • 11 Nov 2020
  • 1:00 PM - 2:00 PM (EST)
  • Zoom

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  • Wednesday, November 11th at 1pm ET

    NEMEP Session # 5
    NEW MARKET OPPORTUNITY
      Dan Easley, CEO Encore Healthcare 

  • "SNF Patient Driven Groupings Model: NEW Opportunity to RESET HME Relationships ”


  • SNFs implemented a new reimbursement model that replaced the Resource Utilization Group (RUG-IV) rates with PDGM. RUG reimbursement focused on the amount of physical/occupational therapy minutes a patient utilized, and now PDGM focuses on a case mix formula that emphasizes patient complexity, additional comorbidities, PT/OT scores, Nursing resources, & specialized treatments including ventis. The shift to PDGM recognizes the complexity of a respiratory diagnosis & therapies required to treat patients.  Objectives:  Understand how the PDGM model recognizes respiratory therapy value & use of higher level technologies to drive improvements; How to leverage use of sophisticated RT equipment into contracted RT services at the SNF; Partnering with the SNF to insure a seamless transition into the home & to reduce readmits while improving patient outcome scores  Understand how to price respiratory services & outcome data from a pulmonary program to drive value to the SNF.




 



© 2017 Northeast Medical Equipment Providers Association 

Contact

Beth Bowen, Executive Director
Email: beth@northeastmep.org


Address:
PO Box 4411

Cary, NC 27519-4411

Direct Dial: (919) 387-1221
Fax: (919) 249-1394

    

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