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Retention: Six tips to address climbing caregiver turnover rates in private duty home care

Turnover in 2018 climbed to 81.6%, according to the 2019 Home Care Benchmarking Study conducted by Rexburg, Idaho-based Home Care Pulse, which includes responses from 688 providers representing more than 1,100 locations. By comparison, turnover in 2017 was 66.7%, according to the previous year’s study. Data show turnover by region, revenue According to Home Care […]

Final FY 2020 ICD-10-CM changes include hundreds of new tabular instructions

The CDC has posted the FY2020 ICD-CM final code changes, and there were no changes to the proposed list of 273 new, 30 revised and 21 invalidated codes that were released in the proposed inpatient hospital prospective payment system rule, April 23. However, the tabular addendum shows that agencies will have to understand and incorporate […]

Hospice Provider Preview Reports: Review Your Data by July 1

Two reports are available in your Certification and Survey Provider Enhanced Reports (CASPER) non-validation reports folder: Hospice provider preview report: Review Hospice Item Set (HIS) quality measure results from the fourth quarter of 2017 to the third quarter of 2018 Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) provider preview report: Review facility-level CAHPS […]

Agencies have another chance to recommend CMS make changes to reduce burden

Agencies seeking for burden reductions in the home health or hospice industries should submit comments on CMS’ new request for information (RFI) as part of the patients over paperwork initiative. CMS posted the RFI on June 11, and agencies have 60 days from then to comment. “CMS is committed to transforming the health care delivery […]

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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 […]

CMS releases tables detailing the 2019 quality measures for home health

Source: Home Health Line CMS has published updated details on potentially avoidable events, process and outcome measures for 2019. The updated tables also include details on star-ratings measures and quality measures new to Home Health Compare in 2019. Claims-based outcome measures “Medicare spending per beneficiary” and “Discharge to community” are joining the ranks of publicly […]

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 […]

Educate clinicians about M1820, an item affecting functional points under PDGM

Source: Home Health Line Ensure clinicians have proper training about how to respond to the OASIS-D item involving patients’ ability to dress their lower body safely. M1820 (Ability to dress lower body) is one of six OASIS items that affect functional case-mix adjustment under the PPS, and it will be one of eight items that […]

Intake and output monitoring

You should monitor residents who have fluid imbalances or are at high risk of dehydration by calculating intake and output (I&O) each shift.