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.
© 2023 Northeast Medical Equipment Providers Association
Beth Bowen, Executive DirectorEmail: firstname.lastname@example.org
Address:PO Box 4411Cary, NC 27519-4411Direct Dial: (919) 387-1221Fax: (919) 249-1394