In this day when the only constant is change, here are a few important sites to add to your list. MLN Matters Articles Index thru August 2012 An excellent site housing national articles designed to inform providers about the latest changes in the industry...
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Fri, Sep 21 2012
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Filed under: Medicare, CMS, Surveys, ACO, Affordable Care Act, ICD-10, ACA, Billing, Affordable Care Act (ACA), ICD-10-CM Coding, Therapy
Issue One: Looking at Statistical Data Every time an OASIS is submitted to the state, portions of it may be parsed out to state, regional, and Federal groups such as the HEAT, MAC review groups, and Federal special projects in the DOJ and FBI. That means...
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Thu, Sep 13 2012
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Filed under: CMS, OASIS, OASIS-C, ICD9-CM Coding, Surveys, Patient Survey, ICD-9, HEAT, Z-PICs, MACs, ICD-9CM Coding
RACs have recovered over 96% of all audited claims resulting in take-backs of over 2 billion dollars. Is it any wonder that the home health industry is concerned about their new focus in our industry? The RACs have been identified. The MACs, who will...
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Tue, Jan 31 2012
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Filed under: Survey, Medicare, CMS, Home Health, ICD9-CM Coding, Compliance, Home Health Care, Surveys, OIG, ICD-10-CM Coding, RACs, MACs, Home Health Software
The CMS new survey protocols have been in effect for over six months. The revised Home Health Agency Survey Protocols and New State Operations Manual are available online. The new survey process is data-driven and patient outcome-oriented with a focus...
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Tue, Jan 31 2012
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Filed under: Medicare, CMS, Home Health, Select Data, OASIS-C, Compliance, Surveys, Patient Survey, Home Care Coding, New Survey Protocols, Home Health Software, Outcomes and Improvement, Infection Control, Assessments, Patient Rights, Plan of Care
Questions regarding 2011 Survey protocols Q. We have several questions re the new survey protocols. What are some of the key differences? What does the pre-survey preparation include? A. The new survey protocols focus on specific standards within identified...
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Sat, Nov 19 2011
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Filed under: Medicare, hipaa, CMS, Best Practice Intervention Practice, Home Health, Home Care, Select Data, Homecare, Compliance, Surveys, Patient Survey, Face to Face Encounters, ACO, CMS Guidelines, HIPPA, Face-To-Face, NAHC, CoPs, HIPPA HITECH, PPS Rates
From Outcome-Based Quality Improvement (OBQI) refresher training to Total Quality Management Agency Programs, the home health agency of today needs to define the level of programs needed to operationally and financially drive success. The home health...
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Tue, Oct 25 2011
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Filed under: CMS, Best Practice Intervention Practice, Home Health, OASIS, OASIS-C, ICD9-CM Coding, Compliance, Legislation, Surveys, Patient Survey, CMS Guidelines, Susan J. Carmichael, OBQI, New Survey Protocols
What are your agency case mix averages by admission: clinician: diagnosis? Do you know your top five diagnostic patient profiles? How do you set visit frequencies? Formula-based or what seems right? Are you making visits that have no impact on patient...
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Sat, Oct 15 2011
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Filed under: hipaa, CMS, Home Health, Compliance, Legislation, Surveys, CMS Guidelines, HEAT, Z-PICs, MICs, RACs, MACs, Z-Pics:The Auditors are Unleashed
With the advent of the new Surveyor guidelines that went into effect May1,2011, the focus is data collection and outcome achievement moving away from the prior focus on process. Outcome achievement starts with a great assessment, careplan, and visit strategy...
As stated in Parts 1-2 of this series, CMS has released the new survey protocols, including new guidance as to what HHA surveyors will be expecting from HHA. It is believed the new protocols will provide more survey consistency. According to CMS, the...
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Thu, Apr 28 2011
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Filed under: Medicare, CMS, Teaching/Education, Select Data, CY2011, Homecare, OASIS-C, Compliance, Home Health Care, Deadlines, and Other Audits, Survey Protocols, Surveys, Part 4: Record Reviews
CMS New Survey Protocols Clinical Compliance Surveyors will, more in depthly, prepare for surveys, using OASIS data. They will review any complaints, previous survey data, and reports generated from the OASIS data. Available OASIS reports can be generated...
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Wed, Apr 20 2011
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Filed under: Survey, Medicare, CMS, Teaching/Education, Select Data, Homecare, Educational Videos, OASIS-C, Surveys, Clinical Compliance, Patient Survey, Protocols
Does all this free credit (they have to pay for this) for members have anything to do with the recent premium increases? It certainly seems like there’s a lot of this type of expenditure going out and this should not be classified under the “healthcare” area as this is an administrative type of...
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Mon, Apr 19 2010
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Filed under: Medically Related, Insurance, privacy, health insurance, Blue Cross, Security Breach, Blue Shield, heatlhcare reform, surveys, Rhose Island
It appears just as pharma advertisements work to promote name brands, media with warnings about dangerous generic drugs appear to have a similar effect. What is interesting in this survey is the most popular emotion shown is “disturbed”, so are media stories as such worthwhile or are they needlessly...