Home Health & Hospice Week
Boost Your OASIS Submission Stats Or Pay The Price
As expected, the Centers for Medicare & Medicaid Services has finalized its proposal to “implement an 80 percent Pay-for-Reporting Performance Requirement for Submission of OASIS Quality Data for Year 2 reporting period July 1, 2016 to June 30, 2017, and a 90 percent ... Requirement for Submission of OASIS Quality Data for ... July 1, 2017 to June 30, 2018 and thereafter,” CMS says in the 2016 HH PPS final rule.
The result for failing to reach this benchmark is a 2 percent reduction to Medicare reimbursement rates in 2018.
Reminder: In the 2015 final rule, CMS finalized a requirement for home health agencies to hit a 70 percent benchmark for OASIS submission in the July 2015-to-June 2016 time period (see Eli’s HCW, Vol. XXIII, No. 39). Resulting payment impacts will begin in 2017.
Caveat: The benchmark applies only to “OASIS assessments that contribute, or could contribute, to creating a quality episode of care,” CMS notes on its HHQR web page.
CMS issued reports to HHAs with their OASIS stats back in June. And “we are considering options for ongoing communication with agencies about their compliance levels,” the agency says.
Home Health & Hospice Week
- Prospective Payment System:
1.4% Cut To Hit HHA Rates Jan. 1
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VBP Takes Effect In 9 States Starting In January
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Get To Know Newly Whittled Value-Based Purchasing Measures
Agencies now have 24 measures to manage under the pilot. The 2016 HH PPS final [...] - Value-Based Purchasing:
Final VBP Model Retains Serious Flaws, Experts Insist
Large risk pool menaces small providers. Home health agencies hoping to see big corrections to [...] - OASIS:
CMS Offers BMI Opt-Out For New Pressure Ulcer Measure
Pressure ulcer measure mandatory in new year. At least some of the industry’s concerns about [...] - OASIS:
Get Ready For M1308, M1309 Changes For Pressure Ulcer Measure
And expect a new diagnosis item. To support the newly finalized quality measure on worsening [...] - OASIS:
Boost Your OASIS Submission Stats Or Pay The Price
As expected, the Centers for Medicare & Medicaid Services has finalized its proposal to “implement [...] - Industry Note:
Split Your Nursing G Codes By Date, MAC Says
HHAs must grapple with G0299 and G0300. Since hospices bill monthly, they generally don’t have [...] - Industry Note:
CMS Proposes New Discharge COP For HHAs
Beware one more increased regulatory duty about to drop into your lap. In a proposed [...]
