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Agency Compliance

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Hospitals and Homecare Agencies...

Homecare agency owners small and large have recently had good reason for optimism over a provision in the health care reform bill related to the home care industry’s opportunity with hospitals. Thanks to a provision in health care reform legislation that penalizes hospitals that fail to reduce their hospitalization rates for three specific diagnoses, Homecare agencies have the opportunity to be more than just a provider. They can actually come to the rescue of hospitals and develop mutually advantageous relationships that keep the hospital in compliance, and increase business for the Home care agency.

News on CMS New Medicare Cards

 

The Centers for Medicare & Medicaid Services (CMS) has announced that they have completed the mailing of new Medicare cards for Waves 1, 2 and 3.  This includes:  Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia, Alaska, American Samoa, California, Guam, Hawaii, Northern Mariana Islands, Oregon, Arkansas, Illinois, Indiana, Iowa, Kansas, Minnesota, Nebraska, North Dakota, Oklahoma, South Dakota, and Wisconsin.  Read more:

OASIS C1 Information for Agencies

OASIS-C1 PREPAREDNESS 

As part of our commitment to keeping our blog readers informed on important developments in the Homecare industry, we would like to spend some time addressing Alora Home Health Software's OASIS-C1 preparedness as well as the upcoming changes to the CMS OASIS Data submission. This information pertains to all Medicare Certified agencies. The following information will help all Medicare Certified agencies prepare for the upcoming conversion to OASIS-C1:

CMS Offers Delay of EVV Implementation for up to One Year

 

Following a lengthy period of uncertainty amidst numerous requests for clarifications and official rules, CMS (The Centers for Medicare & Medicaid Services) has finally issued regulatory guidance on a provision which will allow states to postpone implementation of mandated EVV (Electronic Visit Verification) for a period of up to one year.

  May 31, 2018  "The first major revision to federal regulations last year governing home health care agencies brought significant changes to an industry where great inconsistency was prevalent" Last year a sweeping set of new requirements regarding patient care was put in to place. In these protocols,...

New Studies Point Towards U.S Doctors Widely Ignoring Review of Details in Their Patient’s Home Health Plans   June, 2018  “Recent studies indicate physicians approve  treatment plans Involving Skilled Home Health care after spending barely a minute to examine the details and treatment” Surprising statistics emerged from a recent...

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Home Healthcare Industry Lamenting the Return of the Unpopular “Pre-Claim Review Demonstration"

Scores of industry notables and shareholders within the home health care industry are preparing themselves for another conflict over Pre-Claim Review Demonstration (PCRD), the ever controversial initiative spearheaded by the Centers for Medicare & Medicaid Services (CMS). While its original intent was reducing fraud and improper billing in the home health care spectrum, the unpopularity of the policy is consistent, based on its mandate to providers to send in claims for processing much earlier in the care process to increase the likelihood of them meeting requirements.