FY2019 Hospice Proposed Rule: What You Need to Know

On April 27, 2018 CMS released the FY2019 Hospice Proposed Rule. The rule includes a proposed increase in hospice reimbursements as well as changes to the Hospital Quality Reporting Program (HQRP), although no new measures are proposed.
Highlights of the FY2019 Hospice Proposed Rule include:
Payment Update
CMS is proposing a 1.8% increase in reimbursements to hospices with an overall economic impact estimated to be $340 million in increased payments to hospices during FY2019.

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Medicare Beneficiary Identifier (MBI): What Home Health & Hospice Agencies Need to Know

Designed to help protect the privacy of Medicare recipients, a new Medicare Beneficiary Identifier (MBI) will replace the social security number-based Health Insurance Claim Number (HICN) for Medicare transactions such as billing, eligibility status, and claim FISS/DDE submissions starting April 1, 2018.
Beginning in April, CMS will mail new Medicare cards to all people with Medicare on a flow basis by geographic location and other factors.

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Key Components of a Successful Hospice Interdisciplinary Team Meeting

The hospice interdisciplinary team (IDT) serves a very important function in hospice care. It includes physicians, nurses, home health aides, social workers, counselors, chaplains, therapists and trained volunteers who work together to address a hospice patient’s physical, emotional, and spiritual needs. The holistic approach for the hospice interdisciplinary team enables members of different disciplines to evaluate and provide feedback to the care plan.

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Value of Clinical Decision Support Systems in Home Health & Hospice

Clinical decision support systems provide clinicians with logically filtered, evidence-based data combined with patient-specific data to enhance clinical decision-making at the point of care.
Found in leading EHR software systems, clinical decisions support systems include:

Documentation templates
Clinical guidelines
Contextually relevant information
Condition-specific order sets

How do clinical decision support systems work?
The main purpose of clinical decision support is to provide timely,

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OASIS Assessment Reviews: What Every Home Health Agency Should Be Doing

As reimbursements shrink and costs go up, it is vital that home health agencies operate as effectively as possible. One way to ensure proper reimbursement is by performing OASIS assessment reviews.
All too often, home health agencies make the mistake of not conducting OASIS assessment reviews or if they do conduct them, they aren’t adequately identifying inconsistencies that could potentially cost them reimbursement dollars.

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What Are Clinical Decision Support Tools?

Clinical decision support tools are found in EHR software that when applied effectively, can enhance patient care quality and outcomes, improve efficiency, and help to ensure regulatory compliance. Through clinical decision support tools, patient specific data and evidence-based guidance are presented to clinicians at appropriate times throughout the care planning process, guiding and reinforcing decisions at the point of care.

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