Regulatory Compliance
09/20/2018
Old patterns of thinking about the kinds of services patients need and when to provide them could prove costly for agencies under case-mix methodology set out in the proposed Patient-Driven Groupings Model (PDGM).
09/20/2018
CMS is proposing to eliminate three requirements it has deemed “burdensome” for home health agencies. These proposed changes to the revised Home Health Conditions of Participation (CoPs) might indeed have a positive impact on agencies in terms of their ability to be productive and provide high-quality care, industry experts say. The changes involve portions of the patient rights and aide competency requirements, as well as agencies’ timeframe for providing clinical records.
09/20/2018
While overall it’s good that CMS released final interpretive guidelines for surveyors about the revised Home Health Conditions of Participation (CoPs), many problems were left unresolved and the guidelines even created some new issues for agencies and surveyors, industry experts contend.
09/20/2018
In a Sept. 11 presentation at the Council of State Home Care Associations Policy Summit in Washington D.C., CMS announced that its proposed review choice demonstration would not occur in Illinois until at least December 2018.
09/20/2018
If one of your business associates ceases operations, you may have more to deal with than finding a replacement. You may also have HIPAA compliance problems.
09/12/2018
Nearly eight months after the revised Home Health Conditions of Participation (CoPs) took effect, CMS has posted final interpretive guidelines for surveyors.
09/12/2018
The home health industry submitted a tidal wave of comments in the final days of the 2019 proposed PPS rule’s comment period. Many agencies expressed concern about CMS’ proposed Patient-Driven Groupings Model (PDGM), which is slated to begin Jan. 1, 2020.
08/29/2018
Make identifying patient-specific needs and crafting corresponding measurable outcomes and goals a priority when creating the plan of care. If you don’t, your agency risks survey citations.
08/29/2018
Many home health industry experts believe it’s unlikely CMS will entirely back off launching a Patient-Driven Groupings Model (PDGM) in 2020.
08/29/2018
Failing to supply medical records in response to additional documentation requests (ADRs) was Medicare Administrative Contractor (MAC) Palmetto GBA's most common reason for denial of home health claims between April and June 2018, Palmetto data show.

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