Category \ Regulatory
The release of the Medicare Home Health 2021 Final Rule didn’t come without disappointment and frustration, although the changes are much more subtle compared to the implementation of the Patient-Driven Groupings Model (PDGM) a year ago. While the implementation of … Keep Reading
Home health organizations have a new hurdle from the Centers for Medicare and Medicaid Services’ (CMS) 2021 Final Rule: the no-pay RAP, which introduces penalties for untimely Request for Anticipated Payment (RAP) submissions. Organizations have many questions regarding submission requirements, … Keep Reading
Hospice interdisciplinary group meetings might be shorter (and less interdisciplinary) in 2021. The Centers for Medicare and Medicaid Services (CMS) is finalizing alterations to the Hospice Quality Reporting Program (HQRP), created to analyze hospice organizations’ reporting data in an effort … Keep Reading
A tsunami of change came when the Prospective Payment System (PPS), the method of reimbursement since 2000, was replaced with the Patient-Driven Groupings Model (PDGM) in January 2020. Thirty-day billing periods replaced 60-day periods, three areas are now reviewed for … Keep Reading
The recent elections were historic on many levels. While the election results were not immediately clear, the message from the American voters was. Access to healthcare, particularly during a worldwide pandemic, is paramount. Republicans and Democrats alike sent a mandate … Keep Reading
There are nearly 20 million veterans in the United States. Thirty percent of those veterans have multiple chronic conditions that can be managed by private duty care. These veterans typically don’t receive the care they need and spend more time … Keep Reading
Hospice and palliative care patients often have multiple symptoms that can make creating and following a plan of care difficult. The Edmonton Symptom Assessment Scale (ESAS) is a validated symptom rating tool that has been used extensively worldwide for nearly … Keep Reading
Administrators and designated staff in home care organizations spend countless hours working on authorization requests. Tracking requests can be time-consuming and difficult to maintain, and most organizations have unfortunately experienced large write-offs that come with missing or late authorizations. Meticulous … Keep Reading
Hospice criteria for patients with renal disease as their terminal diagnosis includes assessing the non-disease-specific criteria alongside the disease-specific criteria. The renal disease Local Coverage Determinations (LCDs) are highly dependent on the decision not to seek dialysis or a kidney … Keep Reading
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey empowers hospice organizations by attracting referral sources, driving business growth and sustaining compliance with industry regulations, including the current pay-for-reporting requirements and the shift to value-based care on the … Keep Reading
The Centers for Medicare and Medicaid Services (CMS) recently announced new funding opportunities for states to begin transitioning care from long-term care (LTC) facilities to home and community-based care settings. This funding presents tremendous growth potential for in-home care organizations … Keep Reading
Discharge planning documentation for hospice can be lacking; in most cases hospice discharges occur at death and are not planned. However, surveying organizations always ask for discharged patient records to review during the survey process to ensure the hospice met … Keep Reading
Categories
- Axxess (157)
- Clinical (166)
- Financial (85)
- Home Care (380)
- Home Health (371)
- Hospice (409)
- Operational (244)
- Palliative Care (158)
- Patient Engagement (72)
- Regulatory (204)
- Revenue Cycle Management (42)
- Staffing (54)
