Quality Outcomes
Coders soon may have the ability to capture additional detail for patients with Stage 3 chronic kidney disease (CKD) if a proposal to expand code N18.3 (Chronic kidney disease, stage 3 (moderate)) into a subcategory is approved.
Clinicians are taking more time to complete OASIS-D than they were to complete OASIS-C2, in part because of a new multi-part item capturing mobility.
CMS’ proposal to remove an existing pain measure and related OASIS item should serve as a reminder for agencies to hone clinicians’ skills in assessing and managing pain as well as monitoring for any misuse of medications.
Querying the physician for further information will be essential to ensuring you have the specificity needed for appropriate coding under the Patient-Driven Groupings Model (PDGM).
Following a recent DecisionHealth webinar about creating a concurrent review process and improving clinical documentation ahead of the Patient-Driven Groupings Model (PDGM), agencies asked questions of Sharon Litwin, founder and senior managing partner at 5 Star Consultants in Camdenton, Mo. Below are some of her answers.
With OASIS-D firmly in place and OASIS-D1 updates on the horizon for 2020, CMS already is floating plans for another set of significant changes to the assessment to be implemented as part of OASIS-E in 2021.
Effective writing skills will become essential to successful home health care documentation because of heightened specificity requirements under the Patient-Driven Groupings Model (PDGM) set to take effect Jan. 1, 2020.
The number of agencies earning 4.5 and five stars in the quality of care star ratings ticked upward in the most recent quarterly refresh of Home Health Compare.
Beginning in October 2019, CMS will publicly display results involving a quality measure called “Potentially preventable 30-day post-discharge readmissions.”
Strong documentation is key in home health, and implementation of the Patient-Driven Groupings Model (PDGM) will add a new level of urgency to improvement in this area, industry experts contend.


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