Data is emerging as a critical component of operational success across a wide range of industries, and home health care isn’t exempt from this movement. A CIO magazine report said that the health care industry as a whole is in the middle of a movement to embrace the prospect of gleaning new insights from the large quantities of data being created within EHR systems and from other sources.Continue Reading
On July 2, 2018, CMS released the 2019 Home Health Proposed Rule. It includes considerable proposed changes to the Home Health Prospective Payment System designed to “strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care.”
Payment Rate Changes for CY2019
CMS projects that Medicare payments for CY2019 would increase by 2.1%,
Focusing on techniques to improve your Hospice CAHPS survey response rate is important to ensuring that your survey data is accurate so you can compare your results with other providers in your area and target efforts on continuous improvement.
How many responses do you need? CMS requires at least 30 complete surveys during an eight quarter reporting period for reporting on Hospice Compare.
On June 7, 2018, CMS announced improvements to the hospice NOE process for hospice elections received on or after July 2, 2018.
A new hospice election period format will be added to the Common Working File (CWF) system to carry election-related information. The existing hospice benefit period screens will continue to look the same, but election-related fields on those screens (revocation indicators,
Having a Quality Assurance and Performance Improvement (QAPI) program is mandated by the new Home Health Conditions of Participation (CoPs). While home health agencies should already have their QAPI programs up and running, you have until July 13, 2018 to implement and document at least one performance improvement project (PIP) to ensure compliance with the CoPs.Continue Reading
Managing a successful hospice agency is no simple task. It involves many processes aimed at streamlining workflow, effectively managing employees, accurately and securely completing paperwork, all while providing patients and their loved ones with the highest quality of care. With so many elements involved, it can be easy to become overwhelmed. However, when you partner with a vendor that offers integrated hospice management solutions to help manage your agency,Continue Reading
With increased transparency to the public eye, agencies have an even greater incentive for hospice quality performance improvement, as well as an opportunity to shine in a competitive market. Here are three essential tips that you can use for hospice quality performance improvement.
1. Utilize Any & All Available Hospice Quality Performance Improvement Reporting Data
It is essential for hospices to really understand the data that is available to your agency,
In this blog post, we will discuss what the pre-claim review demonstration is, the history of pre-claim review, and the latest updates.
In June 2016, CMS announced implementation of a three year Home Health Pre-Claim Review Demonstration. The demonstration was designed to test whether a Pre-Claim Review (PCR) process would improve the identification,
While many home health agencies work hard to improve HHCAHPS survey scores, they should also focus on techniques to improve their HHCAHPS survey response rate.
As a HHCAHPS survey provider, we are often asked, “How many responses do I need?” CMS requires at least 20 completed surveys per reporting period for public reporting on Home Health Compare.
Over the years, our industry has seen reports of crimes related to Medicare fraud including conspiracy to commit health care fraud, violations of the anti-kickback statutes, and money laundering. Recently, the OIG released its Health Care Fraud and Abuse Control Program Report for FY2017. In its report, the OIG discusses several significant criminal and civil investigations into fraudulent practices by home health and hospice agencies.Continue Reading