Regulatory Compliance
04/30/2018
Break your agency’s clinicians of their mentality to rely solely on generic language or templates when it comes to plans of care. It’s vital to explain to staff that every patient is different and plans of care must be detailed, individualized and followed closely.
04/30/2018
Home health coders could have 435 ICD-10-CM code changes to deal with starting Oct. 1, with 247 new codes, 139 revised codes and 49 codes rendered invalid, according to the proposed hospital inpatient prospective payment system rule (IPPS) rule released April 24.
04/30/2018
Educate clinicians that when filling out the OASIS, they must take into account CMS’ new requirement allowing physician-ordered resumption of care (ROC) dates outside the 48-hour window for patients coming from inpatient facilities.
04/19/2018
To ensure compliance with the revised Home Health Conditions of Participation (CoPs) and avoid facing deficiencies, agencies should develop a benchmark of 90% to 95% OASIS submission within 30 days.
04/19/2018
Despite HHS’ efforts to reduce the backlog of appeals at the Administrative Law Judge (ALJ) level, the average processing time for appeals has continued to grow.
04/19/2018
CMS has named Adam Boehler as the new leader of its Center for Medicare and Medicaid Innovation (CMMI). Boehler is the founder and former CEO of Landmark Health, which provides home-based medical care.
04/16/2018
Initial survey results following the implementation of the revised Home Health Conditions of Participation (CoPs) show that some surveyors are closely scrutinizing agencies’ compliance with patient rights.
04/16/2018
Two of the most profitable diagnosis codes in home health in 2017 are often inappropriate for agencies to use, and a third code also could draw auditors’ attention.
04/16/2018
In some states, the requirement to comply with new Medicaid face-to-face expectations for home health may be delayed even more.
04/11/2018
The following is a list of the 31 home health agencies that have achieved 5-star ratings in quality each quarter from July 2015 through April 2018.

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