Axxess Has the Tools to Help You Thrive
The Centers for Medicare and Medicaid Services (CMS) has recently released the CY2025 Home Health Proposed Rule, setting a permanent rate adjustment at 4.067%. This adjustment is based on a combination of the 2.89% that CMS did not apply in the 2024 final rule.
CMS maintains that it overpaid home health organizations during the first three years of the Patient-Driven Groupings Model (PDGM) and is seeking additional permanent, negative adjustments. However, Medicare law requires CMS to make both permanent and temporary adjustments, with the intention of producing a budget-neutral transition to the PDGM payment model.
Hear from Axxess Senior Vice President of Clinical Services Arlene Maxim, RN, HCS-C as she discusses the 2025 Proposed Rule for home health. While there are potential and significant impacts from a financial perspective, this webinar will focus primarily on the clinical aspects of the upcoming changes. This includes the Home Health Quality Reporting Program (HHQRP) and OASIS-E, as well as a preview of new items and changes in items impacting social determinants of health.
The Axxess Revenue Risk Analyzer Dashboard doesn't just react to changes – it proactively predicts and responds to them quickly, empowering organizations with the strategic insights needed to deliver long-term financial stability and resilience.
This customized dashboard will help guide your organization and provide an “insights to impact” view of important changes that will have both immediate and future impacts on your organization brought on by the final rule. Located within our Axxess Business Intelligence (BI) tool, the Revenue Risk Analyzer dashboard is designed with the agility to help organizations successfully navigate these changes and identify how key aspects of your patient programming and revenue will be impacted.
To access the new Revenue Risk Analyzer Dashboard, existing Axxess BI customers can find it in the financial home health section of the BI solution. If you are not an existing BI user, sign up for Axxess Business Intelligence today.
CMS is also finalizing several provider enrollment regulatory changes to prevent and address hospice fraud, waste and abuse in the future. CMS believes these provider enrollment provisions related to hospice ownership and management will strengthen protections against hospice fraud and improve transparency. The hospice enrollment-related regulatory changes in this final rule include:
Subjecting hospices to the highest level of provider enrollment application screening, which includes fingerprinting all 5% or greater owners of hospices.
Expanding the HHA change in majority ownership provisions in 42 CFR § 424.550(b) to include hospice changes in majority ownership.
Clarifying that the definition of “Managing Employee” in 42 CFR § 424.502 includes the administrator and medical director of a hospice.
Through value-based purchasing (VBP), organizations can increase their revenue up to 5% and thus offset reimbursement rate cuts and improve their overall revenue. Beginning January 1, 2025, payments will be adjusted based on how Outcome and Satisfaction scores from earlier periods compare to yours and other organizations.
In this Axxess eBook, see how the VBP model incentivizes quality care by offering higher reimbursements to better-performing organizations while penalizing lower-performing ones, understand value-based care areas and incorporate strategies to maximize your reimbursements to ensure long-term success.
Identify trends that affect VBP revenue
Drill down patient details to further understand outcomes and trends
Pull predictive analytics for early interventions to prevent negative outcomes and protect VBP revenue
Drive VBP scores with performance improvement measures based on KPIs
The OASIS captures data critical to Home Health Value-Based Purchasing. Axxess has created a comprehensive collection of OASIS-E resources to help you confidently complete the assessment. Axxess’ OASIS logic and integrations allow for fast and efficient start of care documentation to improve clinical productivity.
Get OASIS Tools NowAxxess Home Health clients can access several resources within the solution to help them answer OASIS questions accurately, avoid QA delays and spend more time with patients. The solution includes an integrated OASIS guidance manual and training tools, like the Axxess 15-Minute OASIS.
Learn MoreAxxess Home Health users can access several features within the solution to help provide quality and compliant care, protect revenue, ensure workforce efficiency and decrease costs.
Increased audits and regulatory scrutiny, such as additional document requests (ADRs), can impact cash flow and lead to significant revenue takebacks. That’s why Axxess has embedded hard stops for items known as potential triggers for ADRs. It’s like having a compliance specialist assist with the documentation.
Agency Set Up enables hard starts to manage quality and compliance
Integrated OASIS tips guide staff to complete compliant documentation
Orders-driven scheduling prevents visits made without orders
By forecasting reimbursement at the beginning of care, organizations can adequately plan for resources throughout the episode of care to improve bottom-line revenue.
Utilize the PDGM Center to view and manage episodic care. Create efficiency for field and office staff and improve HHRG scores for better average monthly revenue. The Axxess Home Health PDGM Center offers the following:
Accessible and straightforward LUPA thresholds to avoid preventable LUPAs with end-of-episode scheduling
Change of Focus form to capture additional revenue based on clinical grouping
PDGM Modeling Tool to help to forecast staffing and workforce management, based on patient acuity and need
The Axxess Home Health Scheduling Center helps manage workforce efficiency and revenue capture. Implement hard stops for orders (created in company setup) to prevent visits made without orders and payment. The Scheduling Center supports clinical scheduling by field staff with permissions, saving countless admit times for PRN and on-call visits.
The Axxess Training and Certification Program can help organizations train and retain staff. It leverages industry expertise alongside our full suite of Axxess solution training to provide continuing education and development for leadership and staff at all levels. Organizations can efficiently onboard new team members and create competent, expert users who will feel comfortable utilizing the solution.
Learn MoreProtecting and growing revenue should be top of mind for providers. Axxess’ revenue cycle management solution automates claims processing so organizations can do more with less and focus on growing their business.
Learn MoreOrganizations can expand their staffing capacity with Axxess Care. The solution connects providers with qualified clinicians to deliver timely care. Use Axxess Care to adapt to caregiver demand and the workforce shortage without FTE commitment. Reduce recruitment costs and accept more referrals with unlimited supplemental staffing.
Learn MoreAxxess is a CMS-approved Consumer Assessment of Healthcare Providers and System (CAHPS) survey vendor for home health and hospice. CAHPS improves patient engagement, provides deeper business insights to increase revenue and drives growth for home health and hospice organizations.
Learn MoreGet the latest news and business insights affecting home health, hospice and home care providers.
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