Home Health & Hospice Week
Coming ACO Changes Could Affect You
Don’t be surprised to see more pressure from your Accountable Care Organization partners as Medicare pushes them to accept more financial risk. “Most Medicare ACOs currently do not face financial consequences when costs increase,” the Centers for Medicare & Medicaid Services says in a release about its new ACO redesign. The revamp, called Pathways to Success, “will change this,” CMS says. The changes are included in a final rule released Dec. 21. Currently more than 10.4 million beneficiaries in Fee-for-Service Medicare (of the 38 million total FFS beneficiaries) receive care from providers participating in a Medicare ACO, CMS adds. “Medicare can no longer afford to support programs with weak incentives that do not deliver value,” CMS Administrator Seema Verma says in the release. “As we structure new payment arrangements, the impact on the overall market will be top of mind.” Among the changes are expanded access to telehealth, including in patients’ homes; incentive payments to patients for good health practices; and a shortened participation timeframe before ACOs must accept financial risk. See more details in a fact sheet at at www.cms.gov/newsroom/fact-sheets/final-rule-creates-pathways-success-medicareshared-savings-program.
Home Health & Hospice Week
- OASIS:
Your OASIS-D Training Has Only Just Begun
Use new materials from CMS to further your staff ’s OASIS education. Hopefully your OASIS-D [...] - Assessment:
HHAs Not Thrilled With Intercepted Fall Addition
Anticipated vs. unanticipated is the key to qualifying for one exception. As home health agencies [...] - Targeted Probe and Educate:
Every Single Hospice Fails TPE At One MAC
Would your claims fall into these TPE probes on non-cancer diagnosis, LOS, or site of [...] - Compliance:
Don't Let Internal Auditing Fall Through The Cracks This Year
Crucial: Hold staff accountable for their documentation. With so many urgent issues demanding your attention [...] - Industry Note:
Tune In For Info On Patient- Driven Groupings Model Pay Reform
Ask CMS your burning PDGM questions. Home health agencies may not have a lot of [...] - Industry Note:
Middle Initial Reason Code Stalks Home Health Claims Again
A claims glitch that home health agencies thought was fixed appears to be back. HHH [...] - Industry Note:
Kick This Bad SSN Habit
Medicare may have nearly finished distributing new Medicare cards to existing beneficiaries, but providers still [...] - Industry Note:
Cap Procrastination Could Cost You
If you’ve never accessed your own PS&R data to calculate your self-reported hospice cap, you’d [...] - Industry Note:
Here's Who Pays Aides The Most
Visiting Nurse Association hospices pay certified nursing assistants nearly 10 percent more on average than [...] - Industry Note:
Coming ACO Changes Could Affect You
Don’t be surprised to see more pressure from your Accountable Care Organization partners as Medicare [...] - Industry Note:
Medicaid Fraud Control Units Launch In 2 New Locations
The HHS Office of Inspector General has certified two new Medicaid Fraud Control Units. MCFUs [...] - Industry Note:
Health System, Chain Ready Joint Venture
Beaumont Health System in Michigan is forming a joint venture with Kettering, Ohio-based Alternate Solutions [...] - Industry Note:
Fraudsters Submit Claims For Visits During Travel
The feds’ crackdown on Medicaid home care fraud continues. On Dec. 13, a federal grand [...] - Make The Most Of Your Eli's Home Care Week Subscription
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