The reimbursement and clinical changes resulting from Medicare PPS can seem daunting to a home care clinician. However, as this article explains, using their knowledge of the nursing process, clinicians can effectively manage the 60-day episode of care from a positive clinical and financial viewpoint.
PPS shifts home health reimbursement by paying the agency to deliver a 60-day episode of care. While there is no requirement that the agency keep the client on service for the entire 60-day period, there is clearly an implicit responsibility and financial accountability for meeting all the patient’s home care needs that arise during the entire 60-day episode.
Kay Hollers, RN, MPH, FHHC, CHCE, is President of Health Care Executive Resources, Austin, TX.
Address for correspondence: c/o Health Care Executive Resources, P.O. Box 200729, Austin, TX 78703 (firstname.lastname@example.org).
The author of this article has no significant ties, financial or otherwise, to any company that might have an interest in the publication of this educational activity.