Conducting the Initial Therapy Evaluation There are two objectives to fulfill when conducting the initial therapy evaluation: 1) emphasize that skilled therapy services are medically necessary, and 2) identify the specific areas to focus on during succeeding patient visits. Obtaining approval from the certifying physician… Read More »Enhancing Home Health Therapy Documentation Practices
The latest version of the Performance and Improvement Progress Report (PIPR) was released in April 2023, accessible through the iQIES system, your usual source for CASPER reports. PIPRs show your current percentile ranking for each outcome measure when compared to agencies nationwide that belong to… Read More »New PIPR is Out: What’s In It for You?
Three years after introducing the Patient-Driven Groupings Model (PDGM), is your agency applying best practices and the right strategies for accurate and compliant coding? Coding has become more critical and complex with the implementation of PDGM and recent developments of guidelines regarding the relevance of… Read More »F2F Encounter FAQs: Everything You Need to Know
The Centers for Medicare & Medicaid Services (CMS) recently updated the Home Health Quality Reporting Program (HH QRP) Measure Calculations and Reporting User’s Manual. This is the first update since the Version 1.0 Addendum in October 2020 and it includes important additions, deletions, language corrections,… Read More »[QRP] Quality Reporting Updates You Need to Know
With recent efforts to capture Social Determinants of Health and its impact on patient outcomes, starting April 1, 2023, 42 new codes will be added to the ICD-10-CM with 9 of those addressing issues like inadequate housing, health literacy, and personal history of abuse. These… Read More »ICD-10 Code Changes Effective April 1st; New SDoH Codes
The Biden administration announced that the COVID-19 public health emergency (PHE) is set to conclude on May 11, 2023, after 3 years. While home health stakeholders initially feared the end of the PHE, it appears that it may not have as significant an impact on… Read More »PHE Conclusion: What Does It Mean for Home Health?
In 2023, two significant changes have been introduced to home health: the new OASIS-E and the nationwide expansion of the home health value-based purchasing (HHVBP) program. Home health organizations must be knowledgeable of the new OASIS data set and the measures impacting the HHVBP Total… Read More »OASIS-E: A Key Factor in HHVBP Performance
Home health agencies currently have the option to deliver some services using telecommunications technology as part of COVID-19 Public Health Emergency (PHE) waivers granted by CMS to allow more flexibility for providers to provide consistent patient care. However, the Centers for Medicare & Medicaid Services… Read More »Heads-up: New Telehealth G-Codes
The Centers for Medicare & Medicaid Services (CMS) have released the January 2023 OASIS Q&A sessions, which provide guidance on OASIS-E documentation in complex situations. These questions which were received by the CMS help desk from Q4 of 2022 address certain topics about BIMS interview… Read More »More OASIS-E Guidance from the January 2023 OASIS Q&As
2023 is looking like a double-edged sword for the home health industry as it is poised to bring challenges, as well as opportunities. Medicare payment cuts will still have an impact on home health, which, consequently, will have a major influence on how home health… Read More »2023 Top Home Health Industry Forecasts