Home Health & Hospice Week
Broken Equipment Nets You A Fall For J1800
A new quarter has brought a new set of OASIS questions and answers from Medicare. The 15 newly posted Q&As address mostly GG items. But the Centers for Medicare & Medicaid Services answers a question about falls as well. Question: “Regarding J1800, if a patient’s wheelchair or other sitting surface breaks while he/she is seated in it, and the patient falls to the floor, do we score this as a fall in J1800?” an agency asks. Answer: “J1800 identifies if the patient had any witnessed or unwitnessed falls since the most recent SOC/ROC. From OASIS D Guidance Manual: Unintentional change in position coming to rest on the ground, floor, or onto the next lower surface (such as a bed or chair). In the situation that you describe, this would be coded as a fall,” CMS responds. See the Q&As at https://qtso.cms.gov/system/files/qtso/CMS_OAI_1st_Qtr_2019_QAs_April 2019 Final_508.pdf.
Home Health & Hospice Week
- Reimbursement:
Beware: New HHA Cost Report May Give Rise To Rebasing
New hourly wage calculation will prove crucial to future rate reductions, expert predicts. A new [...] - Hospice:
CMS Pulls The Trigger On Hospice Payment Level Rebalancing
So-called ‘budget-neutral’ rebalancing will really mean a cut to hospice pay. After years of criticizing [...] - Finance:
Here's Why Hospice Cost Reports Matter
HHAs, pay attention. While Medicare’s proposal to rebalance hospice payment between care levels isn’t exactly [...] - Regulations:
Hospice Proposed Rule To Add Major Election Burden
Plus: Regulation also addresses wage index, HQRP, and alternative care models. Hospices will have to [...] - Industry Note:
Check Out Your OASIS-D Tool
Are you ready to collect these 2 newly added items at Follow-Up? Medicare may have [...] - Industry Note:
Personal Care Services Come Under The Microscope
Medicaid home care services have been on the HHS Office of Inspector General’s hit list [...] - Industry Note:
Medicare Board Of Trustees Gauges Cost Growth
Don’t be surprised to see Medicare officials trying to tighten budget belts even further. In [...] - Industry Note:
Medicare Makes Changes To LCD Process
You may be hearing more about Local Coverage Decisions from your Medicare Administrative Contractor. As [...] - Industry Note:
Yet More RHC Payment Errors Revealed
Many hospices are not surprised to see a recent Medicare message about Routine Home Care [...] - Industry Note:
ERS Procedures Undergo Overhaul
If you find yourself in a bind and needing an Extended Repayment Schedule from Medicare, [...] - Industry Note:
Broken Equipment Nets You A Fall For J1800
A new quarter has brought a new set of OASIS questions and answers from Medicare. [...] - Industry Note:
California Equity Firm Makes HH Investment
HCAP Partners, a California-based private equity firm, has made an undisclosed “investment” in home health [...] - Industry Note:
Doc Gets 3 Years In Prison For Hospice Fraud
A former physician hospice owner and his business partner have been sentenced to nearly three [...] - Industry Note:
Michigan HHA Owner Draws Lengthy Sentence
A former Michigan home health agency owner has been sentenced to seven years in federal [...]
