Home Health & Hospice Week
HHVBP Saves Medicare Money
But it also increases ER use. If you are wondering whether Medicare will take Home Health Value-Based Purchasing nationwide, a new report may give you a hint. Recap: Nine states began participating in the HHVBP Model starting in January 2016. Home health agencies in HHVBP states receive performance scores for individual quality measures that are combined into a Total Performance Score (TPS) to determine their payment adjustment relative to other agencies within their state. Adjustments started out at +/-3 percent in 2018 (based on 2016 scores), and will climb to +/-8 percent by 2022. For the first two years of the program, 2016 and 2017, Medicare spending decreased in HHVBP states by 0.9 percent or $114 million during home care episodes and 30 days after, says a new report evaluating the second year of the program. There was an even bigger reduction of 3.9 percent for unplanned hospitalizations during that time frame. However: There weren’t declines in all types of care for home health patients, and there were even increases in emergency department use for them, the report notes. Watch for: HHVBP’s impact may really kick in for the 2018 program year, since that’s when HHAs began receiving payment adjustments based on their scores. A link to the report is at https://innovation.cms.gov/initiatives/home-health-value-based-purchasing-model.
Home Health & Hospice Week
- PDGM:
How Does Primary Diagnosis Affect OASIS Referral Date Under PDGM?
A new OASIS Q&A tries to tackle that issue, but questions remain. The importance of [...] - OASIS:
Look For iQIES Workarounds Here
Open issues outnumber resolved ones so far. Home health agencies frustrated by being in the [...] - Emergency Preparedness:
Don't Overlook These Time-Saving Emergency Preparedness Changes
You can scale back testing, review time frames. Are you making the most of Emergency [...] - Compliance:
Use Loosened EP Requirements Wisely
Update whenever you experience an emergency event, no matter what the regs say. While a [...] - Quality:
Prepare For Major Compare Website Revamp
CMS needs to fix Compare problems, despite the format, reps say. How potential referral sources [...] - Industry Note:
HHVBP Saves Medicare Money
But it also increases ER use. If you are wondering whether Medicare will take Home [...] - Industry Note:
MAC Fixes Glitch
If some of your claims are being adjusted but have maintained the same payment rate, [...] - Industry Note:
Do Your Homework When MBIs Reject
Do you have a claim rejecting due to an incorrect MBI? Then you need to [...] - Industry Note:
Your RCD Results Are Now At Your Fingertips
Home health agencies under the Review Choice Demonstration now have a new tool to help [...] - Industry Note:
Review Upcoming SPADE Requirements In New Web Education Sessions
You can learn about upcoming changes to Post-Acute Care Quality Reporting Programs, including the QRP [...] - Industry Note:
MAC Pauses TPE Edit To Target More Carefully
Hospices served by one HHH Medicare Administrative Contractor are getting a break from some TPE [...] - Industry Note:
New Medicare Fact Sheet Educates On Reporting Hospice Abuse, Neglect
Reports of abuse and neglect of hospice patients may increase following Medicare’s issuance of a [...] - Industry Note:
Mega-Merger Off For 2 HH Companies
Aveanna Healthcare’s acquisition of Maxim Healthcare Services’ home health division is off, thanks to a [...]
