Starting January 1, 2022, Medicare will require Home Health Agencies to submit a one-time Notice of Admission (NOA) instead of Request for anticipated Payment (RAP). Medicare has been phasing out RAP payments for the last two years. The NOA is a one-time submission that establishes the HH POC and covers 30-day payment periods until the patient is discharged.

Software platforms will have to be adjusted to accommodate the new PDGM billing process. The following are some of the requirements.

Home Health Care Agencies should implement Clinical Documentation Improvement (CDI) programs to understand that clinical documentation starts at referral and must be managed throughout patient care (Admit through Discharge). Home care agencies should identify characteristics for quality documentation and implement a CDI program.

A Home Health Care Agency should have the right tools to manage payroll effectively. This blog highlights some of the challenges that private duty nursing agencies face in processing payroll and discusses potential solutions that integrated software can provide.