Category: News

Hospices’ scores on Hospice CAHPS measures

With Hospice CAHPS data, scores decreased on the measure “Willing to recommend this hospice” dropped to 84% in May 2019 from 85% in February 2019.   Hospice Compare’s latest update occurred May 23. It gets refreshed quarterly. Hospice CAHPS data were collected from July 1, 2016, through June 30, 2018. Measure May 2019 score February […]

Home health agencies continue to struggle on targeted probe-and-educate review

Of CGS’ 81 probes completed for eligibility and medical necessity edit 5A000 from Jan. 1, 2019, through March 31, 2019, only two were compliant after Round 1 — 79 agencies advanced to Round 2. Nineteen providers didn’t respond to additional documentation requests (ADRs) for Round 1 during that timeframe. Meanwhile, of CGS’ 10 probes completed […]

One in three adults die from hip fracture within the year

According to a recent article in Science Times, one in three adults aged 50 or older dies within 12 months following a hip fracture. The risk of death increases when a patient has an existing health condition and the risk of death may be related to complications from the fracture, such as infection, internal bleeding, […]

What to consider: SNF Proposed Rule for 2020

The following was written by Reg Hislop for Reg’s Blog. Reposted with permission. . The SNF proposed rule is best characterized as mostly good news. The best news is the proposed market-basket (rate inflation) update of 3%. Subtracting the productivity factor of .5% from the update, SNFs will see a rate increase of 2.5% starting […]

Proposed bill would innovate use of home health services

The Home Health Payment Innovation Act of 2019, H.R. 2573, would preserve Medicare recipients’ access to home health services and provide a pathway for innovative approaches to using these services. According to LeadingAge, which supports the bill, H.R. 2573 would prevent unwarranted payment rate cuts of Patient Driven Groupings Model (PDGM) by basing any behavioral […]

Trauma portion requirements of Phase 3 of Requirements of Participation

This Q&A comes from  HCPro’s webinar led by postacute regulatory specialist Stefanie Corbett, DHA, that aired on Wednesday, April 3, 2019. Purchase the on-demand version. Q: Our facility is subacute with a majority population of residents who are in a vegetative state. Can you please provide an example of meeting the trauma portion requirements? A: […]

Create a clinical documentation improvement program to achieve PDGM success

Strong documentation is key in home health, and implementation of the Patient-Driven Groupings Model (PDGM) will add a new level of urgency to improvement in this area, industry experts contend. Coding will play a major role in how agencies are paid under PDGM, from determining the clinical group to whether a patient qualifies for a […]

Button down your infection control as measles, HAV outbreaks spread

Recent measles outbreaks in the United States are a grim reminder that infection control is crucial for post-acute providers. Twenty-two states have seen outbreaks of rubella in recent months, according to the U.S. Centers for Disease Control and Prevention (CDC). The disease had been considered eradicated in 2000, and anti-vaccination sentiments are thought to have […]

CMS posts much anticipated MDS 3.0 RAI Manual v1.17

On Monday, May 20, the Centers for Medicare & Medicaid Services (CMS) posted the MDS 3.0 RAI Manual, v1.17, containing many of the requirements that providers will need to follow to prepare for the Patient-Driven Payment Model (PDPM) effective October 1, 2019. New changes will be reflected in HCPro’s MDS 3.0 RAI User’s Manual. The […]

HHS, in partnership with industry, releases voluntary cybersecurity practices for the health industry

On Friday, December 28, the Department of Health and Human Services (HHS) released the “Health Industry Cybersecurity Practices (HICP): Managing Threats and Protecting Patients” publication. The four-volume publication aims to provide voluntary cybersecurity practices to healthcare organizations of all types and sizes, ranging from local clinics to large hospital systems. The industry-led effort was in […]