PDGM
When did PDGM begin?
Jan 1, 2020
What is the proposed first performance year of the national VBP roll-out?
2023
What does RCD stand for?
Review Choice Demonstration
What company prepares the most home health cost reports in the country?
SimiTree
What is the name of the theme song the Philadelphia Phillies play after a victory?
Dancing on My Own
What does PDGM stand for?
Patient Driven Groupings Model
What is the proposed baseline year for the agencies in the national VBP roll-out?
2022
There are five states currently participating in RCD - name three of them.
Florida, North Carolina, Texas, Illinois, Ohio
When are Medicare cost reports due?
5 months after an agency's FYE
This NC based school has won 5 mens basketball national championships, beginning in 1991 and most recent in 2015?
Duke.
How many Clinical Groupings are there?
12
What is the proposed first year of the payment adjustment for the national VBP roll-out?
2025
What are the three initial review choices?
pre-claim review, post payment review, 25% reduction
What is the source of the Medicare statistical data used to populate worksheets S-3 Part IV, D, and D-1 of the HHA Medicare cost report?
PS&R (Provider Statistical Reimbursement Report)
What food chain has the most restaurants in US?
McDonald's (as of 2021, Subway was 2019)
What is the highest reimbursing Clinical Grouping based on case mix?
Wounds
What is the proposed maximum payment adjustment for the national VBP roll-out?
+/- 5%
What is the threshold or affirmation/approval rate required to be eligible for subsequent review?
90%
What is the name of the CMS approved software SimiTree uses to prepare cost reports?
Health Financial Systems (HFS)
What is the longest running TV show of all-time?
The Simpsons
What are the 5 variables that determine case mix/HHRG?
Timing, Source, Clinical Grouping, Functional Impairment Level, Comorbidity
What are the three sources for the 12 total measures in the VBP program?
OASIS, Claims, HHCAHPS
What are the three subsequent review choices?
Pre-claim review, selective post-payment review, spot check review
What are the three home health MACs that cost reports are submitted to?
Palmetto, NGS, CGS
What does LFO stand for?
Lyte Funky Ones