PDGM Results

Ever wonder what the home health reimbursement will be before completing an entire OASIS?
Well now you can, by doing a mock assessment, you will be able to obtain a 30-day reimbursement and LUPA results in few a MINUTES!
The PDGM Results is derived from the 2020 Home Health Patient-Driven Groupings Model provided by Centers for Medicare and Medicaid Services, and takes the keys points to obtain the 30-day period payment.
The PDGM Results Features:
• Wage index for city and/or state to obtain accurate reimbursement amount
• Admission Source (two subgroups) and Timing of the 30-day period (two subgroups)
• ICD 10 code index with Clinical Grouping
• ICD 10 for Comorbidity Adjustment (from Secondary Diagnosis)
• Calculate Primary Diagnosis with Secondary Diagnosis to obtain None, Low or High comorbidity for a higher reimbursement
• Functional Impairment Level (from OASIS items) to obtain Low, Medium or High
• LUPA results
• Reimbursement results, and will be able to calculate cost for Nursing, HHA, Therapies and other disciplines with a profit or loss.

Disclaimer PDGM Results is for information purposes ONLY and in no way guarantee or generate a payment. This information should not be used for the diagnosis or treatment of any health problems or disease. This information is NOT intended to replace clinical judgment or guide individual patient care in any manner.