Home Health Line
07/20/2015
CMS’ proposals to tie 8% of home health agencies’ payments to quality outcome scores will mean agencies need to quickly invest in new technology such as electronic health record (EHR) systems or online portals to share data with other providers.
 
07/20/2015
As usual, geographic differences will mean some agencies fare better than others under the proposed 2016 PPS rule.
 
07/20/2015
A new quality measure recommended in the proposed 2016 PPS rule underscores the need for agencies to ensure clinicians fully understand how to fill out OASIS item M1309 (Worsening in pressure ulcer status since start of care [SOC]/resumption of care [ROC]).
 
07/20/2015
by: CMS
The 2016 proposed national per-visit amounts for low-utilization payment adjustment (LUPA) episodes are slightly greater for all disciplines than the 2015 rates. 
07/20/2015
The HHL team has compiled this quick-reference tool to help you evaluate the major provisions of CMS’ proposed rule. The following changes would take effect in 2016 if the rule is finalized as proposed.
07/20/2015
by: CMS
The following table contains the list of proposed measures CMS will use to gauge performance and base payment adjustments — positive or negative — of up to 5% to 8% over the course of the demonstration.
07/20/2015
Home health agencies seeking to challenge claim denials are mired deeper in the backlog of cases awaiting an administrative law judge (ALJ) hearing than previously estimated.
 
07/20/2015
The second round of quality of patient care 5-star star ratings is scheduled to be published Oct. 8 on the Home Health Compare website. 
 
07/20/2015
When CMS was creating Table 9 within the 2016 proposed PPS rule, “There was a misalignment between the case-mix weights and the payment groups,” the federal Medicare agency has since announced.http://go.cms.gov/1RoGVoi
 
07/20/2015
by: National Research Corporation, Seattle
Among all payers, only 0.53% of patients suffered new or “worsened” Stage II, III or IV pressure ulcers during home health treatment, according to Seattle-based National Research Corporation. Of Medicare patients with pressure ulcers at discharge, nearly one-quarter had a new or worsened pressure ulcer at Stage II.
 
 

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