Revenue Optimization

PDGM OptimizationMaximize Home Health Revenue

The Patient-Driven Groupings Model changed home health reimbursement. Our experts help you optimize every component for maximum revenue.

15-25%
Revenue Increase Potential
30%
LUPA Reduction
95%
Coding Accuracy
ROI
Within 90 Days

Understanding PDGM Components

PDGM uses four key components to determine payment. We optimize each one to maximize your reimbursement.

Admission Source

Community vs. Institutional admission affects base payment rates significantly.

Clinical Grouping

Principal diagnosis determines clinical group - impacts reimbursement substantially.

Functional Impairment

OASIS functional items determine impairment level and payment adjustment.

Comorbidity Adjustment

Secondary diagnoses can increase payments through comorbidity adjustments.

Our PDGM Optimization Services

We provide comprehensive PDGM consulting to help your home health agency capture every dollar you've earned through accurate documentation and coding.

PDGM readiness assessment
OASIS documentation optimization
Clinical grouping accuracy review
Coding and sequencing training
Revenue cycle optimization
LUPA prevention strategies
Compliance monitoring
Performance benchmarking

Common PDGM Mistakes We Fix

Incorrect principal diagnosis sequencing
Missing comorbidity documentation
OASIS functional scoring errors
Failure to capture admission source
Inadequate clinical documentation

Stop Leaving Money on the Table

Get a free PDGM revenue assessment and discover how much more your agency could be earning.

Get Free Revenue Assessment