Value Based Purchasing
CMS uses this program to financially reward or penalize agencies based on quality outcomes.
What is Value-Based Purchasing?
How many days does the HH start of care need to be from discharge from hospital to qualify for institutional credit?
What is 14 days?
How long is a PDGM billing period?
What is 30 days?
This singer became the first artist to win Album of the Year four times at the Grammys.
Who is Taylor Swift?
This Spurs rookie, nicknamed “the Alien,” was the #1 NBA draft pick in 2023.
Who is Victor Wembanyama?
The VBP score is made up of OASIS-based measures, claims-based measures, and this third component.
What are patient satisfaction surveys (HHCAHPS)?
True or False: An outpatient surgery at a surgery center qualifies as institutional.
What is False?
PDGM classifies patients as either ________ or ________ based on where they came from before starting home health.
What are institutional and community?
This actor returned as Wolverine in the 2024 Marvel film Deadpool & Wolverine.
Who is Hugh Jackman?
This NFL quarterback won back to back superbowls in 2023 and 2024
Who is Patrick Mahomes?
his metric reflects the actual percentage of patients who are hospitalized during or shortly after their home health care.
What is the observed hospitalization rate?
A patient is on their second billing period. Their hospital discharge date is Day 10 of the billing period. Do we ROC or DC and re-admit?
What is DC and re-admit.
fter how many days without home health services does a patient become “early” again?
What is 60 days?
This comedian left Saturday Night Live and now stars in his own show Bupkis.
Who is Pete Davidson?
This team won the 2024 World Series, their first championship in franchise history.
Who are the Texas Rangers?
This percentage shows how much your agency’s patients improve on functional outcomes compared with baseline, based on OASIS data.
What is the patient improvement value % from OASIS-based measures?
A patient is on their third billing period. Their hospital discharge date is Day 25 of the billing period. Do we ROC or DC and re-admit?
What is ROC.
True or False: The number of therapy visits determines payment under PDGM.
What is False?
This actress plays Eleven in Stranger Things and recently starred in Enola Holmes.
Who is Millie Bobby Brown?
This tennis player from Spain won Wimbledon in 2023, defeating Novak Djokovic.
Who is Carlos Alcaraz?
True or False: Under VBP, an agency’s performance is compared against both its own past performance and other agencies’ performance.
True
A patient is on their first billing period. Their hospital discharge date is Day 10 of the billing period. Do we ROC or DC and re-admit?
What is ROC (exception: first billing period).
Under PDGM, patients are grouped into clinical categories primarily based on this factor.
What is their diagnosis?
This Latin music star released the hit album Un Verano Sin Ti and headlined Coachella in 2023.
Who is Bad Bunny?
This NBA star, often called “The Greek Freak,” plays for the Milwaukee Bucks.
Who is Giannis Antetokounmpo?