Home Health Line
11/14/2024
The industry was pleased to see Endocrine 3 (Type 1, Type 2, and Other Specified Diabetes) finalized for addition to the low comorbidity subgroup list. And while many of the PDGM functional points are set to remain the same, there are several that are set to decrease by a point or more.
11/14/2024
Educate staff on how to best address new OASIS items assessing Social Determinants of Health (SDoH), as finalized in the 2025 Home Health Prospective Payment System final rule. Encouraging clinician confidence around these sensitive topics could help your agency target issues that undermine patient outcomes.
11/14/2024
CMS finalized a national increase in home health spending of 0.5%, but the impact of the payment update will differ based on a variety of factors.
11/07/2024
The reduced payment cut might mean temporary relief for some agencies, but CMS is only delaying the collection of the other half for future rulemaking.
11/07/2024
Implement systems that allow you to accurately track and reimburse clinicians’ travel time and mileage between patients. Employers who provide competitive transportation reimbursement may attract new talent, while those who fall behind could face costly legal battles.
11/07/2024
Height and weight must be obtained by the agency during the appropriate assessment window. It cannot be completed with patient or caregiver-reported information or a height/weight found on referral information.
11/07/2024
A better approach when a surveyor identifies a potential finding is to say, “I’m surprised to hear this; I had been informed that we were on top of this issue through our internal monitoring. But thank you; we will certainly look into this.”
11/07/2024
Home health and other post-acute providers are getting a better look at prior authorization practices by Medicare Advantage (MA) payors — and more data on home health utilization in MA is on the way.
11/07/2024
A new Congressional report suggests data may show patients with more significant care needs were diverted by MA plans to home health instead of SNFs.
10/31/2024
Agencies should ensure they are submitting OASIS assessments within the required timeframe in order to avoid citations from surveyors.

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