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
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:
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.
What good is powerful software without multi channel customer service and support available when you need it? Web-based home health and hospice software has many advantages including minimal upfront costs, rapid development cycles with immediate updates, no downtime for server maintenance, and the ability to use a variety of devices from anywhere, at any time.Continue Reading
Hospital readmission reduction is a hot topic in healthcare these days. Studies show that nearly 20% of Medicare recipients discharged from a hospital were readmitted within 30 days, with 34% readmitted within 90 days. MedPAC has estimated that 12% of readmissions are avoidable, and preventing even a small portion of these readmissions could save Medicare millions of dollars.Continue Reading
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.