Category: Quality of care

CMS webinar transcript available

An audio recording and transcript is now posted on the Home Health Quality Reporting Training webpage for the December 14, 2017 webinar on Removal of Influenza Vaccination Measure from Quality of Patient Care Star Rating. CMS officially decided to eliminate “Influenza immunization received for current flu season” from the list of home health quality of […]

Hospice Tip: How to collect HIS data collection when a patient transfers hospice providers

The following in an excerpt of The Hospice Guide to Quality Care and Reporting: Promoting Sustainability in an Evolving Regulatory Climate by Diane Link, RN, MHA. Click here for more information.   From a regulatory standpoint, any hospice staff member, including volunteers, contractors, and affiliates (e.g., staff from the quality division of the health system […]

Hospice tip: Understand OIG reports and what CDI can do in response

There have been four recent OIG reports specifically reviewing hospice compliance. The OIG Report entitled “Medicare hospices have a financial incentive to provide care in assisted living facilities,” published in January 2015, revealed that Medicare payments in assisted living facilities more than doubled in five years (2007–2012), care provided was for longer periods, and diagnoses […]

Noncompliance letters on HQRP, new Q&A on HIS

CMS notified hospice providers that are noncompliant with Hospice Quality Reporting Program (HQRP) requirements for CY 2016. According to CMS, any hospice determined to be noncompliant may be subject to a two percentage point reduction in their FY 2018 annual payment update.   Noncompliance letters were dated July 18, 2017, and sent by mail and […]

New PEPPER available for home health agencies, CMS updates to Home Health Compare

A few updates for home health:   New Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) through CY 2016 are available for Home Health Agencies (HHAs). These reports summarize provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data to support internal auditing and monitoring activities. […]

CMS publishes overview of quality improvement and quality measurement

Quality Improvement and Quality Measurement The vision of the CMS Quality Strategy is to optimize health outcomes by improving quality and transforming the health care system. CMS serves the public as a trusted partner with steadfast focus on improving outcomes, beneficiary/consumer experience of care, population health, and reducing health care costs through improvement. Among the […]

Improving home health case management efforts critical to quality

At many home health organizations, patient care is viewed as a series of tasks to be checked off a list. As healthcare moves from a volume-based to a value-based model and providers are increasingly held financially accountable for patient outcomes, experts say this view needs to change. Making this shift, they say, requires a new […]

Have an idea? Want to be a writer or a speaker? Join HCPro’s talented cast!

Do you have a great idea? Are you wondering if it would translate into a book, an e-product, a presentation? Email editor Olivia MacDonald: and send me your idea. We are always looking for people with post acute care experience to help us reach our readers. Do you have experience with any of the following: […]

Good news for Medicare beneficiaries—improved quality for 2017 plans

Medicare health plans are being rated on a five-star scale due to a system implemented and published once a year by CMS. As a result of this quality-control technique, services provided by Medicare Advantage programs have improved, and enrollees are expected to reach 18.5 million in 2017, a 60 percent increase from 2010. Plans assigned […]