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For more information about the role of therapy services under the PDGM, we refer readers to the Medicare Learning Network (MLN) Matters article SE20005 available at To adjust for case-mix for 30-day periods of care beginning on and after January 1, 2020, the HH PPS uses a 432-category case-mix classification system to assign patients to a home health resource group (HHRG) using patient characteristics and other clinical information from Medicare claims and the Outcome and Assessment Information Set (OASIS) assessment instrument

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“Materials that promote a health service (including telehealth) as a means to obtain a specific prescription-only medicine are likely to amount to advertising of prescription-only medicines and may be in breach of the Act,” the TGA said in a statement