On November 1, 2017, CMS released the draft Home Health Interpretive Guidelines for the final Home Health Conditions of Participation (CoPs), which took effect on January 13, 2018. The draft was released for review and comment to select industry groups. The Home Health Interpretive Guidelines are intended to clarify the CoPs for both providers and surveyors in instances where the regulation may be unclear.Continue Reading
On November 1, 2017, CMS released the 2018 Home Health Final Rule. To the delight of home health agencies, the rule was finalized without the implementation of the Home Health Groupings Model (HHGM), which was proposed for roll-out in 2019.
CMS stated, “We are not finalizing the implementation of the Home Health Groupings Model (HHGM) in this final rule.
Home health and hospice providers have until November 15, 2017 to implement and be in full compliance with the new emergency preparedness requirements. Now is the time for agencies to get ready with HEALTHCAREfirst‘s emergency preparedness training courses!
CMS has developed an Emergency Preparedness Training: Basic Surveyor Course to train surveyors on what to look for when evaluating providers for compliance with the emergency preparedness requirements.
In today’s environment, hospice agencies need to collect everything they are owed and they need to do it quickly. By understanding potential red flags and avoiding common mistakes that lead to claim denials, you can easily improve revenue and cash flow. Discover the top reasons for hospice claim denials and how you can avoid them!
Beginning on November 15, 2017, hospice agencies must be prepared to demonstrate compliance with the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule. CMS is releasing a new Appendix Z of the State Operations Manual (SOM) that contains the interpretive guidelines and survey procedures for the final rule.Continue Reading
Home health agencies have had longitudinal charting looming like a shadow over their operations. On one hand, implementing a longitudinal charting methodology makes it easier to track care activities in more nuanced and specialized ways, leading to potential quality and transparency improvements within an agency. On the other, the extra time and attention that goes into documentation with a longitudinal chart methodology can be intimidating for agencies already facing regulatory challenges and pressures.Continue Reading
Beginning on November 15, 2017, home health agencies must be prepared to demonstrate compliance with the home health emergency preparedness condition of participation (CoP). When evaluating for compliance with the CoP requirements, surveyors will follow the standard survey protocols during initial, revalidation, recertification, and complaint surveys. CMS’ goal in enforcement of these requirements is to ensure that Medicare certified organizations “better anticipate and plan for needs,Continue Reading
On Tuesday, July 25, 2017, CMS issued the CY 2018 Home Health Proposed Rule. Effective for home health episodes of care ending on or after January 1, 2018, the rule updates the Home Health Prospective Payment Systems (HH PPS) payment rates including the national, standardized 60-day episode payment rates, the national per-visit rates,Continue Reading
Widespread EHR use in the health care sector comes with new challenges in terms of data entry and management. As EHR technologies and processes have evolved, many organizations have run into a situation where varied policies and procedures surrounding data entry has led to major quality issues. Poor data quality undermines an agency’s ability to use data to support patient care,Continue Reading
Home health claim denials can cause a number of problems for agencies of any size, with cash flow being the biggest concern. Home health agencies should have plans in place to avoid denials, as well as plans on how to handle them when they occur. By having advance knowledge of the potential red flags that may come up at your agency,Continue Reading