Home Health Line
08/04/2014
CMS awarded the following quality improvement organization (QIO) contracts for the second phase of the 11th scope of work, which is designed to provide agencies support improving quality outcomes, beginning Aug. 1. 
08/04/2014
CMS separated medical case review from quality improvement in the latest quality improvement organization (QIO) contract, which started Aug. 1. In the new contract, there are two Beneficiary and Family-Centered Care (BFCC) contractors: Livanta of Annapolis Junction, Md., and KEPRO of Seven Hills, Ohio. 
 
 
08/01/2014
This table shows average request-for-anticipated-payment (RAP) reimbursements and case weights for start-of-care and recertification episodes, October 2013 through June 2014. The data is representative of about 1 million cases provided by more than 2,000 provider locations nationwide.
 
07/28/2014
In its latest guidance about Part D medication, CMS has removed many drugs from the list of medications requiring preauthorization for hospice beneficiaries.
 
07/28/2014
New England agencies recently hit by additional documentation requests (ADRs) seeking “proof of OASIS submission and acceptance by the state” won’t have to respond after all.
 
07/28/2014
The proposed 2015 PPS rule would drop the narrative requirement for face-to-face documentation. But it’s still important to educate physicians about the need to thoroughly document why the patient is homebound and requires skilled care.  
 
07/28/2014
Make sure clinicians understand they can check response “2-Yes” for M1046 (Influenza vaccine received) in OASIS-C1/ICD-9 if your agency provided the vaccine to patients in a community flu clinic event prior to their entering your agency’s care.
 
 
07/28/2014
Take several steps to verify patients are covered by traditional Medicare, and not Medicare HMO, to prevent payment delays caused by failure to get preapproval for the HMO.
 
07/28/2014
CMS updated its website to include a complete set of Q&As that pertain to the OASIS-C1/ICD-9. 
07/28/2014

Agencies paying employees per visit should review overtime payment procedures as federal and state departments of labor (DOL) are ramping up scrutiny of wage-and-hour compliance in the home health industry.

 

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