Tag: CMS

Quarterly OASIS Q&As offer additional guidance on responding to GG items

CMS in its latest quarterly OASIS Q&As provided agencies with additional guidance about how to respond to GG items capturing information on prior device use, self-care and mobility. Questions 28 through 36 of the October 2019 Q&As deal with these items, which were added to the OASIS this year. In Question 35, one agency asked […]

CMS clarifies types of providers impacted by provisional period of enhanced oversight

CMS has re-released an MLN Matter article to confirm the decision to suppress payments associated with requests for anticipated payment (RAPs) for new agencies also impacts existing agencies that have undergone a change of ownership. MLN Matters article SE19005 was originally released Feb. 15 and provided information about CMS’ placement of new agencies into a […]

The number of 5-star agencies in quality of care dipped slightly in October 2019

The number of agencies achieving five stars in the quality of care ratings dropped slightly in the October 2019 refresh of Home Health Compare. While this isn’t the first time it’s happened, typically the number increases quarter over quarter. CMS data show 641 agencies nationwide earned five stars in the ratings system involving quality of care, […]

CMS receives application from TJC to continue as national accrediting organization for HHAs

CMS issued a proposed notice that they received an application from the Joint Commission (TJC) for continued recognition as a national accrediting organization for HHAs that wish to participate in the Medicare or Medicaid programs. Within 60 days of receiving an organization’s complete application, the state required CMS to publish a notice that: 1) identifies […]

LeadingAge requests RoP Phase III delay

In a letter penned to CMS administrator Seema Verma, industry trade group LeadingAge requested a delay in Phase III of the Requirements of Participation (RoP), citing lack of guidance from CMS. The letter, signed by LeadingAge president and CEO Katie Smith Sloan, states that CMS has failed to provide intelligence on how SNFs will be […]

Direct patients to Medicare resources during open enrollment

A State Health Insurance Program (SHIP) is an insurance counseling service that is provided free of charge by the Administration on Community Living in partnership with the Centers for Medicare & Medicaid Services as well as state aging agencies to help assist Medicare beneficiaries and their caregivers. By discussing coverage, cost and convenience, the goal […]

CMS’ October release of quarterly OASIS Q&As offer guidance on PDGM, OASIS-D1

The latest release of CMS OASIS quarterly Q&As delve into issues around the Patient-Driven Groupings Model (PDGM) and OASIS-D1 as well as GG items capturing mobility and self-care. The October 2019 Q&As — published to the CMS website Oct. 15 — include 37 questions and responses on a range of topics. PDGM was the dominant […]