Tag: hospital

New data looks at hospital discharges, top home health diagnosis groups

Despite a decrease in hospital discharges to skilled nursing facilities in 2020, the rate of discharges to home health remained largely unchanged. That was one of the results shared in the 2021 Home Health Chartbook, released Nov. 10, 2021, by the Alliance for Home Health Quality and Innovation and the National Association for Home Care […]

10th Circuit Decision May Affect Work-From-Home Requests After Pandemic Ends

As COVID-19 vaccinations increase and states ease pandemic-related restrictions, many employers are beginning to plan for employees’ to return to the office. But not all workers may want to return, and some might ask to work remotely because of ongoing concerns about the virus in light of underlying health conditions or simply a fear of […]

Carefully log admission source as CMS focuses on hospital errors

CMS recently released an MLN article targeting hospitals and billing for patient care that involves a home health admission. When patients are transferred, a hospital is typically paid at per diem rate. An OIG report last year found improper payments tied to hospital claims that should have been subject to the transfer policy because the […]

Biden names acting administrator for CMS

The Biden administration has named Liz Richter the acting administrator for CMS. Richter has served since 1990 and most recently served as deputy director of the Center for Medicare, according to CMS. Richter began in the Bureau of Policy Development working on inpatient hospital payment policy. She later worked on a variety of Medicare payment […]

Check local hospital data on facility-specific bed capacity and COVID-19 impact

The Department of Health and Human Services (HHS) recently began releasing new hospital COVID-19 data at the facility level. The data shows weekly impacts from COVID-19 on ICU and bed capacity. When announcing the new datasets last month, HHS noted that it should help local and regional collaborations. Home health industry leaders have noted that […]

SNFs suspected of underreporting quality metrics

Self-reported quality metrics from SNFs don’t align with hospital diagnoses for some quality measures, a new report shows. Most noticeably, pressure ulcers were vastly underreported by more than half of SNFs, according to the report from Integra Med Analytics. “The median ratio of the self-reported and hospital-based pressure ulcer rates was 0.48, indicating that over […]

Proposed 2020 ICD-10-CM codes include new codes for deep tissue damage, facial bone fractures, blood clots

Coders will have new ICD-10-CM codes to report pressure-induced deep tissue damage, acute versus chronic embolism and thrombosis and fractures of the facial bones around the eye, among other changes. All told, 273 codes are proposed to be added, 30 codes revised and 21 invalidated in the ICD-10-CM code set for fiscal year 2020. The […]

CMS introduced star ratings at Hospital Compare

On April 16, 2015, the Centers for Medicare & Medicaid Services (CMS) introduced star ratings on Hospital Compare, the agency’s public information website, to make it easier for consumers to choose a hospital and understand the quality of care they deliver. This announcement builds on a larger effort across HHS to build a health care […]

Ask the expert: Minimum minutes of evaluation on MDS

Q: What is the minimum minutes of evaluation on a Part A patient that needs rehab? A: There isn’t any minimum minutes indicated in the MDS. Therapy evaluations are performed by licensed therapists who are guided by their practice standards and also must meet Medicare criteria for skilled rehabilitation.