A conversation between Navin Gupta, Vice President, Home Care Solutions for MatrixCare and his special guest Jeremy Crow, Senior Software Executive, Information Technology Consultant, and Certified Project Manager for HEALTHCAREfirst about RCM support through COVID-19, PDGM, and beyond.
Turn CAHPS data into better performance and optimized patient care. Download the ebook. The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Home Health Care Survey (also known as HHCAHPS) was created to measure the patient experience within Medicare-certified home health agencies—but it’s more than just another CMS requirement. With the trend toward value-based purchasing, patient outcomes are just as important as volume. Simply put, CAHPS was designed to collect your agency’s performance data. However, without the right vendor, agencies lack the right programs and tools to use that data to their advantage.
Download the Home Health CY 2020 Proposed and Final Rule Crosswalk. CMS proposes to rebase the FY2020 per diem payment rates for Continuous Home Care (CHC), Inpatient Respite Care (IRC), and General Inpatient (GIP) levels of care based on their analysis of claims and cost report data, which shows the Hospice average cost per day of care is greater than Medicare reimbursement.
HEALTHCAREfirst has the answer to managing cost and spending under PDGM Download the ebook As managing your agency becomes more challenging, you may be looking for ways to realize cost efficiencies and reduce spending. Accurate clinical assessment and effective coding practices will be more important than ever under PDGM.
With HEALTHCAREfirst, one agency found more than just coding clarity Download the case study When Addison County Home Care & Hospice went in search of outsourced coding, they ended up with an expert level solution for not just coding – but also PDGM prep, OASIS, and customer service that is second to none.
The implementation date for the Home Health Patient-Driven Groupings Model (PDGM) is on or after January 1, 2020. PDGM is an alternative case-mix methodology designed to put the focus on patient needs rather than volume of care. It relies heavily on patient characteristics to more accurately pay for home health services and uses 30-day periods as a basis for payment.
The implementation date for OASIS-D is right around the corner. Beginning January 1, 2019, home health agencies must use the OASIS-D item set to collect and report data for Medicare and Medicaid patients that receive skilled nursing services and are 18 years old and older. The main reason for revising the OASIS is to increase standardization across post-acute care to calculate cross-setting quality measures in accordance with the IMPACT Act. These changes present significant risk if not properly implemented and managed, so we have created this resource hub to help.
With the average life expectancy continuing to climb, the demand for home health and hospice care continues to increase. This coupled with a national shortage of nurses, many home health and hospice agencies are hard-pressed to hire and keep qualified nursing staff.
The new Home Health Conditions of Participation (CoPs) demand a greater focus on home health infection prevention and control. They state that as a component of an agency’s QAPI program, it must establish, document, and maintain a home health infection prevention & control program with a goal of preventing and controlling communicable diseases.
Home health and hospice clinicians have greater responsibilities than ever before. Case loads, care needs, and duties vary from day to day, and often the clinician is the only one responsible for making sure that everything is completed correctly and in a timely manner.