[3918] PDGM Metrics | Connecting Functional Status, Comorbidities, & Financial Outcomes
Actionable insights to navigate the evolving PDGM landscape.
Presentation Info:
- TAHC&H Event | Winter Conference | Rich-Media Presentation Capture | Online On-Demand Access
- Presentation Date: February 12, 2025
Program Description:
The CY2025 Final Rule brought significant updates to the Patient-Driven Groupings Model (PDGM), redefining how functional status, comorbidity levels, and coding impact agency reimbursement and financial outcomes.
This program dives into these critical metrics, providing a clear understanding of how your OASIS answers and coding practices directly influence functional impairment levels, case-mix weights, and comorbidity adjustments.
Gain the knowledge to adapt to changes in point values, comorbidity subgroups, and ICD-10 reassignments within the PDGM grouper. By mastering these updates, agencies can optimize financial performance and ensure
compliance with evolving standards. This program equips home health professionals with actionable insights to navigate the evolving PDGM landscape, empowering them to align clinical documentation and coding with financial and regulatory success in 2025.
HCSSA Topic(s) Addressed:
- §558.259[d][4] agency responsibilities
- §558.260[a][3] basic principles of management in a licensed health-related setting
- §558.260[a][7] financial management
Education-Training Credits:
- TX HCSSA Administrator/Alternate Continuing Education
- Continuing Education for Nurses
- 1.0 Contact Hr(s)
- This program awards CNE until 02.12.2027
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association,
an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion:
To receive continuing education credits for this online presentation, the participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias:
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants
may use their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities,
especially in the presence of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the education activity.
The toll-free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s):
Lisa Selman-Holman, JD, BSN, RN ,HCS-D, COS-C, VP Clinical Services, McBee
About the Presenter(s): Lisa Selman-Holman
Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C, Vice President of Education & Quality at McBee, brings more than 35 years of experience in the home health and hospice industry,
specializing in regulatory compliance, both as an RN and a home care attorney. Lisa founded Selman-Holman CoDR (Coding Done Right), a coding outsource and audit company, which was
acquired by McBee in 2021. In her role as VP of Education & Quality, Lisa leads the education team in producing quality education through live events and online via Post-Acute Academy.
Post-Acute Academy includes a robust catalog of courses in home health and hospice hot topics as well as onboarding requirements. Additionally, Lisa leads the quality audit team to
ensure the highest-level of accuracy in coding and clinical documentation internally at McBee and externally for clients nationwide. Lisa is the past chair of the Board of Medical
Specialty Coding and Compliance (BMSCC) and is an originator of the Homecare Coding Specialist-Diagnosis (HCS-D), Homecare Clinical Specialist-OASIS (HCS-O) and Homecare Coding
Specialist-Hospice (HCS-H) credentials. She is an AHIMA Approved ICD-10-CM Trainer.
[3918] PDGM Metrics | Connecting Functional Status, Comorbidities, & Financial Outcomes
