HEALTHCAREfirst is committed to keeping you ahead of the curve! Our home health educational resources provide the latest on regulatory updates, best practices, and tips for improving many areas of your organization. We’re always here to help, so if you have questions or just want to talk with one of our experts, contact us at 800.841.6095 or firstname.lastname@example.org.
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.
As the post-acute care environment becomes increasingly more competitive, solidifying new referral source partnerships and strengthening existing partnerships is a vital aspect of any organization’s success. This Home Health & Hospice Referral Generation Action Plan offers five key steps to identify high-value referral partners and strategically target business development efforts so post-acute care providers can dramatically increase home health and hospice referrals in record time.
Home Health Care Software FAQ: Home Health, in its simplest definition, is care provided to individuals at home rather than in a hospital, inpatient unit or physician’s office. The care provided typically consists of part time or intermittent skilled care which may include nursing, physical therapy, occupational therapy and speech therapy. Additional services such as those of a medical social worker or Home Health Aide may be provided.
Medicare continues to reduce payments, forcing home health and hospice agencies to look for other ways to maintain revenue and profits. One alternative source of revenue to consider is commercial payers. To be successful when working with commercial (private insurance) payers your agency will need to be organized and well prepared. Here are some recommendations to help you get started.
Are you getting the most out of your HHCAHPS investment? Partnering with the right HHCAHPS vendor is critical to HHCAHPS score improvement. If you are dissatisfied with your current vendor, consider switching.
You’ve selected new home care software whether it be home health software and/or hospice software. Now what? The next step in the process is Implementing Home Care Software. This is an area where there are many agencies that excel, and others that feel completely overwhelmed.
It is important to choose a home health software vendor who is right for your business. The software you select should help your agency streamline operations, accelerate reimbursement and improve patient outcomes.
In recent years, the Medicare home health program has grown quickly, both in cost and the number of patients served. In 2009, 3.3 million Medicare beneficiaries received Medicare home health services, resulting in $18.9 billion in Medicare payments.
Corresponding to an aging population and an increase in the incidence of chronic health conditions, more than 3.4 million people currently receive Medicare skilled home health care services. With home health care service utilization on the rise, Medicare home health care spending has nearly doubled from 9.7 billion in 2001 to 18.3 billion in 2012.1 Additionally, home health agency growth has soared while profit margins have declined.
It was quite beneficial to have the same project manager and trainer at First Choice Home Health throughout the whole process because every agency is unique. We’re not a very large agency in a rural area in Montana. Sometimes you feel like you’re not as important as a huge agency in an urban area.
Home Health Conditions of Participation FAQ: In January 2017, the Centers for Medicare & Medicaid Services (CMS) published the Home Health Conditions of Participation (CoPs) final rule in the Federal Register. The CoPs are the minimum health and safety standards that a home health agency must meet in order to participate in Medicare and/or Medicaid programs.
For most HHAs, HHCAHPS has been implemented for some time, and is out of sight and out of mind of your staff members. Here are three quick tips to help re-engage staff and improve your HHCAHPS program.
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