PDGM Billing
PDGM Billing refers to submitting Medicare claims under the Patient-Driven Groupings Model (PDGM), which determines reimbursement based on patient
Definition
PDGM Billing refers to submitting Medicare claims under the Patient-Driven Groupings Model (PDGM), which determines reimbursement based on patient
Why it matters
PDGM Billing is part of the Revenue Cycle vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
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