As home health agencies learn how to achieve the best outcome at the lowest cost, we find best practice PDGM leverages the skills of each clinical discipline and office-based care managers. During the shift to PDGM, therapy utilization came under intense scrutiny, despite the role of therapy remaining unchanged. What has changed is the manner in which the interdisciplinary team approaches care planning, which yields solid clinical and financial outcomes. Join us as we look through the lens of therapists, nurses, and care managers, providing key guidance for planning a 30-day PDGM payment period and achieving best practice utilization management.
Objectives:
Describe a best practice care management approach to interdisciplinary utilization management throughout the 30 day payment period and 60 day episode of care.
Integrate practice guidance as a therapist or nurse in planning PDGM-friendly care delivery
Identify common pitfalls when planning care, leading to missed payment periods and increased LUPA potential.
Presenter:
Cindy Campbell, MHA Healthcare Informatics, BSN, RN
Cindy Campbell is Director of Operational Consulting at WellSky and a nationally recognized thought-leader and management consultant to the continuum of healthcare at home. Cindy holds a Masters of Health Administration with specialty in Healthcare Informatics, and a Bachelor of Science in Nursing.
