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Providing solutions that enable exponential impact.

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FAQs from the webinar

PDGM readiness: What about therapy?

FAQs from the webinar:
PDGM readiness: What about therapy?

Written by Gina Mazza, BSN, RN, CPHQ (Senior Vice President Regulations and Compliance - Fazzi Associates) and Kerry Termine, DPT, COQS, BCHH-C (Director of Coding Quality - Fazzi Associates)

Home health is about to undergo one of the biggest changes it has faced in a generation – the Patient-Driven Groupings Model (PDGM). Anticipating this change, a critical question is on the mind of every home health provider - What about therapy? While the new model eliminates the therapy thresholds for payment, the PDGM case mix structure does include mechanisms for all disciplines. Are you getting the whole story related to PDGM and therapy?

To help you and your team contend with the steep learning curve of PDGM, two of the most renowned experts in home health, Gina Mazza, BSN, RN, CPHQ (Senior Vice President Regulations and Compliance - Fazzi Associates) and Kerry Termine, DPT, COQS, BCHH-C (Director of Coding Quality - Fazzi Associates), recently presented a free 60-minute webinar — PDGM readiness: What about therapy? — now available to watch on demand. Now Gina and Kerry answer some of the most popular questions asked during the webinar in this new FAQ document.

Get answers to these questions and many more:

  • Is the revenue per patient paid every 30 days?
  • How do we handle a referral from a physician with a vague diagnosis?
  • Are maintenance therapy services allowed under PDGM?
  • Which codes are non-specific that are being used for high therapy utilization?

Download and share this valuable resource with your home health team!


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Recorded Oct 23, 2018

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Gina Mazza

Gina Mazza

Gina Mazza, BSN, RN, CPHQ is Senior Vice President Regulations and Compliance for Fazzi Associates. In her role at Fazzi, she manages one of the largest OASIS and compliance groups in the country. She serves as the Director of Fazzi’s Home Health and Hospice CAHPS programs as well as Fazzi’s OASIS and compliance auditing. Gina has spearheaded a number of Fazzi’s national best practice initiatives and served as the clinical expert on Fazzi’s National State of the Industry Study. She has published numerous white papers on the realities and implications of regulations on service delivery. Gina is also a nationally recognized speaker with strong clinical and regulatory expertise.

Kerry Termine

Kerry Termine

Kerry Termine, DPT, COQS, BCHH-C is Director of Coding Quality for Fazzi Associates. She is a leader in quality management with extensive experience with OASIS and coding audits, reimbursement management and regulatory compliance. Kerry is an AHIMA Certified Trainer and holds the COQS and BCHH-C credentials. Additionally, as a Doctor of Physical Therapy (DPT), Kerry’s knowledge of physical therapy and many years of direct clinical experience give her tremendous insights that benefit home health providers.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

Presenter

Presenter: Jill Dyer, BSN, RN, HCS-D, HCS-O

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly.

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About WellSky

WellSky is a technology company advancing human wellness worldwide. Our software and professional services address the continuum of health and social care — helping businesses, organizations, and communities solve tough challenges, improve collaboration for growth, and achieve better outcomes through predictive insights. People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care. Informed by more than 30 years of providing software and expertise, our purpose is to empower care heroes with technology for good, so that together, we can realize care’s potential and maintain a healthy, flourishing world.

About WellSky

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.

People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.