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Navigating the Hassles of PDGM: A Simple Guide to Home Health Billing Service

  • The home healthcare market is rapidly growing, expected to have a CAGR of 10.21% from the current year to 2030.
  • Understanding the Patient-Driven Groupings Model (PDGM) is crucial for home health agencies to ensure financial stability through effective billing services.
  • Under PDGM, home health billing services operate on 30-day payment periods instead of the previous 60-day structure, with eligibility checks still conducted every 60 days.
  • Outlier payments provide extra financial support for high-cost patient care under the PDGM model, while consolidated billing streamlines payments for most care services provided.

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