Category: Home Health Quality Reporting

OASIS-D: ARE YOU READY FOR 2019?

By Melinda Gaboury / Posted on: October 30, 2018 5 minutes to read

OASIS has indeed changed again and quite dramatically this time. While there are 28 M items that have been deleted from the data set and only 6 new ones added, don’t be fooled into believing that this will be a breeze.

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2019 Value Based Purchasing Proposed Changes

By Melinda Gaboury / Posted on: August 27, 2018 5 minutes to read

CMS released the CY2019 Medicare Home Health payment rule July 12, 2018. A large part of the proposed changes are to the Value-Based Purchasing (VBP) Model. One of the agency’s proposed refinements of VBP is removing five measures while adding two new proposed composite measures.

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2019 Home Health Proposed Payment Rule – PDGM 2020

By Melinda Gaboury / Posted on: August 8, 2018 9 minutes to read

The Centers for Medicare and Medicaid Service (CMS) released the CY2019 Medicare Home Health payment rule July 12, 2018. This proposed rule is voluminous and carries an immense number of proposed changes. HPS will continue analyzing and updating the proposed elements of this rule.

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CAHPS – Home Health & Hospice

By Melinda Gaboury / Posted on: March 2, 2018 5 minutes to read

Are you monitoring the agency’s CAHPS results? There are numerous questions on the survey that the patients must complete, but only selected ones go into the outcome measure calculations. Home Health CAHPS results have been reported on the Home Health Compare website for quite some time, while the results for the CAHPS Hospice Survey just began being public reported on Hospice Compare 02/22/18. One of the lowest scoring…

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2018 Home Health Final Rule

By Melinda Gaboury / Posted on: November 14, 2017 8 minutes to read

The Breaking News that has every one full of excitement and hope is that the 2018 Home Health Final Rule does NOT include finalizing HHGM, at this time, which was set for implementation in 2019! The battle has been won, BUT the war has just begun! Some form of payment reform will occur in home health. It is not…

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2018 Home Health Proposed Rule – HH QRP

By Melinda Gaboury / Posted on: August 14, 2017 9 minutes to read

The 2018 Home Health Proposed Rule was released 07/28/17. The 2018 Home Health Proposed Payment Rule – Including Intro to HHGM regarding this rule primarily discussed the proposed reimbursement changes for 2018 as well as the massive changes to the Prospective Payment System in the form of HHGM. The following is a recap of the proposed changes to the Home Health Quality Reporting Program (HH QRP).

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2018 Home Health Proposed Payment Rule – Including Intro to HHGM

By Melinda Gaboury / Posted on: July 31, 2017 13–15 minutes to read

The Centers for Medicare and Medicaid Service (CMS) released the CY2018 Medicare Home Health payment rule last week. This proposed rule is voluminous and carries an immense number of proposed changes.  HPS will continue analyzing and updating on the proposed elements of this rule.

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Delayed Implementation of Home Health CoPs

By Melinda Gaboury / Posted on: July 14, 2017 2 minutes to read

Last week CMS issued a Final Rule that changed the new Home Health CoPs rule implementation date to January 13, 2018. HPS announced the proposed rule a few months ago. NAHC and the Forum of State Associations spearheaded this effort to postpone the rule because of the extensive changes that are…

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Home Health PEPPER is HOT!

By Melinda Gaboury / Posted on: May 26, 2017 5 minutes to read

One of the Hot Topics surrounding the medical review contractors and Medicare MACs is Home Health PEPPER (Program for Evaluating Payment Patterns Electronic Report)! Pepper is an accumulation and calculation of certain statistics that result from claims data. These Medicare claims data statistics are calculated for areas that may be at risk for improper Medicare payments such as…

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HHCAHPS – Improvement in Specific Care Issues

By Melinda Gaboury / Posted on: May 12, 2017 6 minutes to read

Are you monitoring the agency’s HHCAHPS Star Ratings? There are numerous questions on the survey that the patients must complete, but only selected ones go into the outcome calculation and eventual star rating. The Composite Measure – Specific Care Issues, seems to be one that most agencies struggle with. The specific questions from the survey…

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Negative Pressure Wound Therapy with a Disposable Device Billing Specifics (NPWT)

By Melinda Gaboury / Posted on: April 21, 2017 6 minutes to read

The 2017 Final Home Care Rule included clarification that payment for the NPWT device is when a HHA “furnishes NPWT using a disposable device” to mean when the HHA provider is either initially applying an entirely new disposable NPWT device, or removing a disposable NPWT device and replacing it with an entirely new one.

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Home Health COPs Delayed

By Melinda Gaboury / Posted on: March 31, 2017 2 minutes to read

CMS just issued a proposed rule that will change the new Home Health CoP rule effective date to January 13, 2018. NAHC and the Forum of State Associations spearheaded an effort to postpone the rule because of the extensive changes that are required and the absence of needed interpretive guidance to properly comply.

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Are You Thriving?

By Melinda Gaboury / Posted on: January 20, 2017 4 minutes to read

The constant additions of new programs and new methods, updates and consideration of changes is almost unbearable for some agencies.  Home Health has been hit really hard since 2008 and no relief seems to be coming.   Value-Based Purchasing, Pre-Claim Review, New CoPs, OASIS-C2, ICD-10 CM and now possibly major changes to the Prospective Payment System in regard to reimbursement.

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BREAKING NEWS – PRE-CLAIM REVIEW DELAYED

By Melinda Gaboury / Posted on: September 20, 2016 3 minutes to read

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Pressure Ulcer Unlearning!

By Melinda Gaboury / Posted on: September 14, 2016 7 minutes to read

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Proposed VBP Changes 2017

By Liz Landreth / Posted on: July 20, 2016 10–12 minutes to read

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Just add PEPPER!

By Liz Landreth / Posted on: June 6, 2016 6 minutes to read

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HHCAHPS – Is There Room for Improvement?

By Melinda Gaboury / Posted on: April 28, 2016 4 minutes to read

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The Continued Culture Change to Quality

By Melinda Gaboury / Posted on: April 8, 2016 3 minutes to read

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Culture of Quality

By Melinda Gaboury / Posted on: March 21, 2016 5 minutes to read

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Can You Afford to Ignore?

By Melinda Gaboury / Posted on: March 11, 2016 6 minutes to read

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Value Based Purchasing: What We Weren’t Sure of!

By Melinda Gaboury / Posted on: January 14, 2016 4 minutes to read

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Are You Overwhelmed by it All?

By Melinda Gaboury / Posted on: July 22, 2015 6 minutes to read

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