Regulatory Compliance
05/22/2019
Agencies seeking to pass CMS’ Review Choice Demonstration (RCD) with flying colors should select the pre-claim review option and ensure they gather all the detail necessary to outline why patients are homebound.
05/22/2019
The number of agencies earning five stars in the quality of care star ratings ticked upward in the most recent quarterly refresh of Home Health Compare.
05/22/2019
CMS is conducting data analysis to prepare for possible introduction of star ratings on Hospice Compare.
05/20/2019
If patients appear physically able to shower or bathe but refuse to do so, clinicians must delve into why. The difference in clinicians’ responses will impact scoring on M1830 (Bathing).
05/20/2019
Ensure skilled professionals from your agency assume responsibility for communicating with all physicians involved in the plan of care and with other health care practitioners (as appropriate) related to the current plan of care.
05/20/2019
You must assign M19.90 (Unspecified osteoarthritis, unspecified site) for a patient whose physician has only diagnosed “osteoarthritis” — even if the physical therapist’s assessment states that the osteoarthritis (OA) is affecting the right shoulder.
05/20/2019
by: CMS
This chart shows the number of clinical points that various OASIS responses will generate under the Patient-Driven Groupings Model (PDGM).
05/13/2019
The public can now easily view statements of deficiencies as a result of home health complaint surveys CMS conducted with inspection dates from January 2011 through March 29, 2019.
05/13/2019
Agencies can expect to make more money under the Patient-Driven Groupings Model (PDGM) when they treat sicker patients who are admitted directly from institutional sources. But note that not every hospital stay will be considered an institutional admission source.
05/13/2019
In a new transmittal released May 3, CMS provided clarifications on how the Patient-Driven Groupings Model (PDGM) will work.

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