Home Health & Hospice Week
CMS To Base ACH Rate On Claims Data -- Not OASIS
Don't be surprised to see your acute care hospitalization (ACH) outcome data change. CMS plans to use claims data to calculate that figure for display on the Home Health Compare website, rather than continuing the current method of using OASIS data, CMS says in the home health prospective payment system proposed rule published in the July 13 Federal Register. "Claims data are a more robust source of data for accurately measuring acute care hospitalizations than other data sources," CMS maintains. However, CMS has to work out some technical issues with the Home Health Compare files before it will post the claims-based figure. Until then, CMS will continue to display the OASIS-based figure. CMS appears to plan to use claims data for the "Emergency Department Use Without Hospitali-zation" measure as well, the proposed rule indicates.
Home Health & Hospice Week
- Survey & Certification:
Surveyors Gain New Arsenal Of Tools In Proposed Rule
CMS gives HHAS a survey wakeup call with alternative sanctions.Are you ready to pay $10,000 [...] - Enforcement:
Check Out 5 New Alternative Sanctions
How long would you survive under a payment suspension?As always, the Medicare program will retain [...] - Regulations:
Surveyors To Use 6 Factors When Setting CMP Rates, Other Sanctions
Immediate jeopardy determination will make the biggest difference.How will a surveyor decide you just need [...] - Compliance:
Alternative Sanctions Come With A Silver Lining
Informal dispute resolution will give agencies a chance to point out surveyor mistakes.Medicare's newly proposed [...] - Industry Note:
Whistleblower Lawsuit Leads To Hospice GIP Settlement
Atlanta hospice forks over half-million dollars to lay fraud charges to rest.You'd better make sure [...] - Industry Note:
Your CAHPS Data Is Showing
Your Home Health CAHPS patient satisfaction data is now up on the Home Health Compare [...] - Industry Note:
Outlier Payments Still Aren't Fixed
You'll have to wait a while longer for your outlier reimbursement. The Centers for Medi-care [...] - Industry Note:
CMS To Base ACH Rate On Claims Data -- Not OASIS
Don't be surprised to see your acute care hospitalization (ACH) outcome data change. CMS plans [...] - Industry Note:
Use This Free Hospice Quality Reporting Training
Trying to get up to speed on the new hospice quality reporting requirements that kick [...] - Industry Note:
ACOs Continue To Expand
Still trying to figure out exactly what your role should be in Medicare's Accountable Care [...] - Industry Note:
Docs Face 27% Pay Cut
Expect your referring physicians to be scrambling as their 27 percent Medicare pay cut looms [...] - Industry Note:
CMS To Collect Data On Therapy Patient Function
Wondering how CMS may reconfigure the therapy portion of home health payment rates? Take a [...] - Industry Note:
NYC Aides Win OT Suit
The battle over the federal "companionship exemption" to overtime laws continues, but that may not [...] - Industry Note:
Detroit HHA Owners Face Kickback, Fraud Charges
Two more home health agency owners in Detroit are facing fraud charges. Usha and Dee-pak [...]
