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Manage medications ahead of OASIS-E

Agencies should ensure clinicians are familiar with the high-risk drug classes ahead of OASIS-E implementation and the addition of N0415 (High-risk drug classes: use and indication). Explain why it’s important. Be sure that staff are educated and competent in the various high-risk drug classes. Designate education around different medications. Make sure you’re asking the right […]

CMS releases HHVBP benchmarks, thresholds

Agencies preparing for Home Health Value-Based Purchasing (HHVBP) in 2023 now have access to achievement thresholds and benchmarks for each quality measure via the Internet Quality Improvement and Evaluation System (iQIES) portal at https://iqies.cms.gov/. The achievement thresholds and benchmarks were calculated using quality measure data for 2019, the model baseline year, according to a CMS […]

OIG reviewing OASIS fall reporting

The Department of Health and Human Services Office of Inspector General has announced a new review of the “accuracy of falls reporting in home health OASIS assessments,” according to a work plan update for May 2022. The OIG noted that Care Compare now includes the percentage of patients in home health care who fell and […]

CMS releases OASIS-E guidance manual

CMS has released the much-anticipated draft guidance manual for the OASIS-E version of the OASIS data set. The OASIS-E will be used for assessments beginning Jan. 1, 2023. The new 396-page guidance manual includes an item-by-item guide to the OASIS-E assessment instrument (page 13), as well as a 10-page description of the changes from OASIS-D […]

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Breaking: 2022 proposed rule could mean national HHVBP and changes to PDGM

CMS has announced a national expansion of the Home Health Value-Based Purchasing (HHVBP) model beginning Jan. 1, 2022. It’s one of several changes introduced in the CY 2022 Home Health Prospective Payment System proposed rule, released Monday, June 28, 2021. Previously, the nine-state HHVBP model focused on payment adjustments higher and lower compared to other […]

CMS moving ahead with Hospice Care Index measures

CMS is moving ahead with the development of a new quality measure for hospice providers. First announced in August 2020, the Hospice Care Index (HCI) is moving toward National Quality Forum endorsement, CMS officials announced during an open-door forum Jan. 26. The new hospice index will measure 10 indicators that include “hospice provided no continuous […]

Feds Pursue Fraud Claims Against PPP Recipients

To help struggling businesses needing immediate access to cash during the COVID-19 pandemic, Congress introduced the Paycheck Protection Program (PPP) as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act in 2020. Some companies, however, didn’t use the PPP loan funds as Congress intended. Because of a broad range of associated fraud, the […]

COVID-19 PHE extended into 2022

The Secretary of Health and Human Services Xavier Becerra signed an order Oct. 15, 2021, extending the national public health emergency (PHE) related to the COVID-19 pandemic for another 90 days. The order is effective October 18 and lasts through January 16, 2022, unless it is rescinded earlier. The first COVID-19 PHE was declared in […]

Home health research grant seeking 2022 proposals

The Home Health Research Grant is now accepting submissions for research proposals seeking 2022 funding, which will help advance home health care and may seek to improve care delivery at home through quality and innovation, according to a release from the Alliance for Home Health Quality and Innovation. For the 2022 funding period, funding will be awarded up to $75,000 […]

SNFs explore home care options as Choose Home Care Act is introduced in the House

The Choose Home Care Act, legislation that aims to give Americans a choice on where to recover after a hospital discharge, was introduced into the House of Representatives on October 8. The bipartisan bill would create an add-on payment to traditional Medicare home health benefits for patients 30 days after hospital discharge. “Since being introduced […]