Home Health & Hospice Articles by Topic: Compliance

Create a patient rights verification form to prevent survey citations related to revised CoPs

• Homecare Direction, Issue 8, August 14, 2017

  Create a checklist to verify that your agency has explained to patients and/or their legal...

We are a hospice. What should our response process be to an ADR?

• Homecare Q&A, Issue 15, August 3, 2017

  When a hospice discovers a new ADR, staff should review the time frame for the ADR, assemble...

What constitutes medical necessity when it comes to psychiatric care?

• Homecare Q&A, Issue 15, August 3, 2017

  The proof of medical necessity strictly relies on the MD documentation and diagnosis and the...

How can we prepare for the pre-claim demo?

• Homecare Q&A, Issue 5, August 3, 2017

  Become more proactive. You no longer can wait for face-to-face documentation to arrive within...

How does the new HHGM payment rule for 2019 affect my therapy services?

• Homecare Q&A, Issue 15, August 3, 2017

  In the new proposed home health PPS rule, CMS states agencies providing a larger percentage of...

Moratoria on enrollment for certain home health agencies extended

• Homecare E-News, Issue 29, July 31, 2017

  According to the Federal Registrar, enrollment of new Medicare home health agencies, subunits, and...

New HHGM for 2019 is major overhaul

• Homecare E-News, Issue 29, July 31, 2017

  The introduction of the Home Health Groupings Model (HHGM) into the proposed rule means preparing...

Agencies' payments will drop in 2018

• Homecare E-News, Issue 29, July 31, 2017

  While the HHGM is the most significant long-term change for agencies’ payments, in the short...

New emergency preparedness guidelines provide clues for what surveyors will focus on

• Homecare Direction, Issue 7, July 21, 2017

  Review emergency preparedness policies and procedures at least annually, and make sure they...

We are looking to decrease our rehospitalization rate but we do have a decent number of patients with multiple chronic conditions. What can we do? Can telehealth help? Some of our patients are so frail.

• Homecare Q&A, Issue 14, July 17, 2017

  It’s true that you will struggle. A study of hospitalizations using a national all-payer...

When can we expect to see interpretive guidelines? What should our agency be doing given the new CoP delay?

• Homecare Q&A, Issue 14, July 17, 2017

  The clock has been reset, and agencies that haven’t taken steps to prepare for the revised...

Changes to make with new Medicare cards

• Homecare E-News, Issue 27, July 17, 2017

  The Medicare Access and CHIP Reauthorization Act of 2015 requires CMS to remove social security...

OSHA electronic reporting raises concerns for healthcare providers

• Homecare E-News, Issue 27, July 17, 2017

  Less than one week before the July 1 compliance date, OSHA officials delayed a new electronic...

CMS finalizes home health CoP delay days before effective date

• Homecare E-News, Issue 26, July 10, 2017

  Less than a week before most of the revised Home Health Conditions of Participation (CoPs) were...

Implement a strong performance improvement project as part of QAPI

• Homecare Direction, Issue 7, July 10, 2017

  Your agency has gone through the quality assessment piece of QAPI and identified areas that need...

Federal judge issues nationwide preliminary injunction to overtime exemption rule

• Homecare E-News, Issue 45, November 28, 2016

  Last week, a federal judge with the U.S. District Court for the Eastern District of Texas issued a...

IMPACT Act comments due on new measure for home health

• Homecare E-News, Issue 44, November 21, 2016

  The call for public comment on the IMPACT Act of 2014’s cross-setting quality measure on...

In Focus: Authors of study suggest framework for optimizing home health value

• Homecare E-News, Issue 40, October 24, 2016

  The final report from the Alliance for Home Health Quality and Innovation (AHHQI)’s Future...

Weekly Roundup

• Homecare E-News, Issue 40, October 24, 2016

  New communication ruling for home health and hospices takes effect. This week, the Centers...

Is skilled nursing administering allergy injections sub-q twice a week or weekly to a patient (due to no willing or available caregiver) a covered skill under CMS guidelines?

• Homecare Q&A, Issue 18, September 17, 2016

  Medicare will pay for administration of these injections with the proper circumstances and with...

Question on physician interactions and medication reconciliation...

• Homecare Q&A, Issue 17, September 3, 2016

  Remember, as an agency, you must follow the strictest of the guidelines, including your agency...

Our questions are in regards to providing home health aide services to a patient in an assisted living facility (ALF).

• Homecare Q&A, Issue 16, August 22, 2016

  Our questions are in regards to providing home health aide services to a patient in an assisted...

If a clinician has a missed visit, does the primary physician need to be notified within a certain period of time (e.g., two days, two weeks, etc.), or can we add dates of missed visit(s) and reason to the discharge summary?

• Homecare Q&A, Issue 16, August 22, 2016

  The regulation requires the HHA to alert the physician to any changes that suggest a need to alter...

I wanted to verify if the discharge reason in these cases would still be "Transferred to Inpatient Facility" (to match the transfer OASIS)? Or would we enter "Pt Expired" (even though the patient expired at the hospital, not at home)?

• Homecare Q&A, Issue 16, August 22, 2016

  Follow-up question to the one above: Because the patient would not be coming back to us for...

When we enter our discharge reason for home health, is it that the patient was transferred to an inpatient facility, or is the discharge reason that the patient expired?

• Homecare Q&A, Issue 16, August 22, 2016

  When our patients are admitted to an inpatient facility and we complete a transfer OASIS, we...

Weekly Roundup

• Homecare E-News, Issue 28, July 25, 2016

  In this week's roundup: New HHA PEPPER is now available. A new release of the Program...

I want to make sure I am in compliance regarding teaching and training activities. How do you properly document teaching?

• Homecare Q&A, Issue 14, July 17, 2016

  Teaching and training plays a significant role in homecare and is addressed in the Medicare Benefit...

Weekly Roundup

• Homecare E-News, Issue 26, July 11, 2016

  In this week's roundup: False claims penalties to double. Penalties for fraud by healthcare...

How should a physician recertify a patient with endless or ongoing care needs?

• Homecare Q&A, Issue 13, July 3, 2016

  For recertification of a Foley patient or long-term medication management, the physician should...

In Focus | Supreme Court Refuses Minimum Wage Case

• Homecare E-News, Issue 25, June 27, 2016

  The U.S. Supreme Court has declined to hear Home Care Association of America v. Weil, which means...

Weekly Roundup

• Homecare E-News, Issue 25, June 27, 2016

  In this week's roundup: CMS revises ICD-10 codes. CMS officially finalized the first major...

Weekly Roundup

• Homecare E-News, Issue 24, June 20, 2016

  In this week's roundup: Study: Home health cuts costs of CJR. The use of home health...

Weekly Roundup

• Homecare E-News, Issue 22, June 6, 2016

  In this week's roundup: House members slam home health prior authorization proposal.  A...

Can a discharge planner pull information from a patient's record and document the clinical findings for the need for each discipline and homebound clinical findings?

• Homecare Q&A, Issue 10, May 17, 2016

  As a representative of the physician, the discharge planner could gather all information. As long...

What experience and training do you need to require of an aide for hire?

• Homecare Q&A, Issue 8, April 19, 2016

  As a Medicare-certified homecare agency, I historically hired aides that have completed the CNA/HHA...

What is the best way to comply with the new Medicare regulation that took effect on August 11, 2015, which is the recertification attestation by MDs?

• Homecare Q&A, Issue 8, April 17, 2016

  What is the best way to comply with the new Medicare regulation that took effect on August 11...

What is the best approach to a summary report?

• Homecare Q&A, Issue 7, April 4, 2016

  The Conditions of Participation (CoP) mandate the agency to send a summary report to the physician...

When should we conduct chart audits?

• Homecare Q&A, Issue 7, April 4, 2016

  You can never conduct too many chart audits. However, there are certain time points when you...

What should you do about a tardy recertification assessment?

• Homecare Q&A, Issue 7, April 4, 2016

  In response to this question, CMS has said that it is not necessary to discharge and readmit the...

Under the Medicare home health benefit, does an individual who qualifies for the skilled service of insulin administration due to his blindness and no willing or able caregiver need to be homebound?

• Homecare Q&A, Issue 7, April 4, 2016

  One of the eligibility criteria for Medicare is homebound status; this must be present to qualify...

Weekly Roundup

• Homecare E-News, Issue 14, April 4, 2016

  Recent investigations by the Office of Inspector General (OIG) have shown a number of instances in...

Weekly Roundup

• Homecare E-News, Issue 13, March 28, 2016

  The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has launched...

Weekly Roundup

• Homecare E-News, Issue 12, March 21, 2016

  The CMS Office of Minority Health last week unveiled a snapshot of chronic disease-related service...

If a patient is blind or in a wheelchair, does he or she automatically meet the requirement for homebound status?

• Homecare Q&A, Issue 6, March 18, 2016

  If a patient is blind or in a wheelchair, does he or she automatically meet the requirement for...

Please advise regarding how a home health agency is paid if a patient elects hospice after admission. At one time, the agency was paid for an entire episode. Is this still the case? What if less than five visits were conducted?

• Homecare Q&A, Issue 6, March 18, 2016

  Please advise regarding how a home health agency is paid if a patient elects hospice after...

Following up on the previous question's example of the therapy overpayment, would the agency also be obligated to look at all the claims for that individual for the prior six years? What do you recommend regarding pre-bill audits?

• Homecare Q&A, Issue 6, March 18, 2016

  Following up on the previous question's example of the therapy overpayment, would the agency also...

What potential impact does the final rule on overpayments have on home health agencies?

• Homecare Q&A, Issue 6, March 18, 2016

  What potential impact does the final rule on overpayments have on home health agencies? For...

Question on physician signatures

• Homecare Q&A, Issue 6, March 18, 2016

  We have been getting complaints from physicians regarding too much paperwork that we send to them...

Weekly Roundup

• Homecare E-News, Issue 11, March 14, 2016

  An article titled “A Case Exemplar for National Policy Leadership: Expanding Program of...

How should we handle our annual agency evaluation? What exactly is this and what does it entail?

• Homecare Q&A, Issue 5, March 3, 2016

  The policies and administrative practices of the agency are reviewed to determine the extent to...

How do I help my staff avoid professional negligence claims? What are the important points to convey to them?

• Homecare Q&A, Issue 4, February 18, 2016

  How do I help my staff avoid professional negligence claims? What are the important points to...

What do the CoPs say about Lovenox administration?

• Homecare Q&A, Issue 4, February 18, 2016

  I work at a homecare agency, and we have been getting referrals lately for nurses to administer...

Weekly roundup

• Homecare E-News, Issue 7, February 15, 2016

  CMS intends to start a Medicare Probable Fraud Measurement Pilot for home healthcare services...

Can the OASIS then be updated (by the assessing clinician) within the five-day window, using information gathered from that collaboration, if the M0090 date is also updated?

• Homecare Q&A, Issue 3, February 3, 2016

  Thank you for your question and commitment to compliance. You are correct that the assessment must...

May we accept orders for labs from a physician assistant (PA) who is listed on the 485?

• Homecare Q&A, Issue 3, February 3, 2016

  Thank you for your question and your commitment to compliance. According to the Medicare Benefit...

What are the legal risks with telehealth?

• Homecare Q&A, Issue 1, January 3, 2016

  Telehealth devices are becoming more common in the area of home healthcare. It is important for...

Are clerical staff able to enter written orders from the MD into the electronic medical record if the RN verifies the entry in both Michigan and Wisconsin?

• Homecare Q&A, Issue 24, December 17, 2015

  It is not prohibited but will require tight controls in place. Please review practice brief about...

Do we need to do a Transfer and Resumption of Care for a patient that was in the hospital for observation longer than 24 hours but not as an inpatient?

• Homecare Q&A, Issue 24, December 17, 2015

  The following is a clarification by CMS regarding this subject:

Weekly Roundup

• Homecare E-News, Issue 49, December 14, 2015

  The Centers for Medicare & Medicaid Services (CMS) will host an open door forum on Thursday...

Weekly Roundup

• Homecare E-News, Issue 48, December 7, 2015

  The National Quality Forum (NQF) announced its plan to review standardized performance measure...

Barring any state restrictions, are home health aides employed by a Medicare--certified agency permitted to apply a dry dressing to a wound if a patient prepares it or not?

• Homecare Q&A, Issue 23, December 4, 2015

  No, home health aides are not permitted to apply any dressing to a wound, incision, etc.  They...

In Focus | Improper payments remain an issue

• Homecare E-News, Issue 47, November 30, 2015

  The U.S. Department of Health and Human Services released its Agency Financial Report for fiscal...

Weekly Roundup

• Homecare E-News, Issue 47, November 30, 2015

  Assisted- and independent-living centers can be attractive places to do business for the home...

How can we prepare for staff interviews during a survey?

• Homecare Q&A, Issue 22, November 17, 2015

  How can we prepare for staff interviews during a survey?

How do home visits work when you are having a survey?

• Homecare Q&A, Issue 22, November 17, 2015

  How do home visits work when you are having a survey?  

Do we need documentation regarding the legitmacy of a discharge planner?

• Homecare Q&A, Issue 22, November 17, 2015

  Our agency is asking for clarification of whether an agency relationship exists between hospital...

In Focus | 2016 Home Health Final Rule Released

• Homecare E-News, Issue 43, November 2, 2015

  After receiving 118 comments from the public during the official comment period, the Centers for...

The Weekly Roundup

• Homecare E-News, Issue 43, November 2, 2015

  Final Rule Released After receiving 118 comments from the public, the Centers for Medicare &...

Inside Story | Determining and documenting the appropriate visit frequency

• Homecare E-News, Issue 42, October 26, 2015

   For years there has been debate on what is an appropriate frequency for a patient. Frequency...

In focus | Study finds home health readmission rates decline, but home health use differs by location

• Homecare E-News, Issue 42, October 26, 2015

   The Alliance for Home Health Quality and Innovation (AHHQI), a national non-profit consortium...

The Weekly Roundup

• Homecare E-News, Issue 42, October 26, 2015

   Home health sees decline in readmission rates The Alliance for Home Health Quality and...

The Inside Story | Staff education on infection control

• Homecare E-News, Issue 40, October 19, 2015

  Care delivered according to infection control guidelines is the most effective tool available for...

In focus | NAHC submits comments on face-to-face clinical templates

• Homecare E-News, Issue 41, October 19, 2015

  Last Tuesday, NAHC submitted official comments to CMS on a pair of proposed clinical templates (one...

We are in disagreement about whether that is an appropriate frequency.

• Homecare Q&A, Issue 20, October 16, 2015

  We are in disagreement about whether that is an appropriate frequency.  

What kind of events count as "potentially avoidable"? What will and should be in the CASPER Outcome-Based Quality Improvement Report?

• Homecare Q&A, Issue 20, October 16, 2015

  What kind of events count as "potentially avoidable"? What will and should be in the...

Can you explain the IMPACT Act and what home health agencies need to do in regard to it?

• Homecare Q&A, Issue 20, October 16, 2015

  Can you explain the IMPACT Act and what home health agencies need to do in regard to it?  

Is it true that the following documentation is an improper certification statement on our home health agency's plan of care?

• Homecare Q&A, Issue 20, October 16, 2015

  Is it true that the following documentation is an improper certification statement on our home...

The Inside Story | Start-of-Care and Resumption-of-Care Assessments

• Homecare E-News, Issue 40, October 12, 2015

  The start-of-care (SOC) assessment is completed as a patient is being admitted to a home health...

In focus | NAHC summarizes latest developments on the face-to-face reform front

• Homecare E-News, Issue 40, October 12, 2015

  While awaiting an imminent decision in its lawsuit challenging the validity of the physician...

If the patient does not require a skilled bath, can our agency continue to provide this under the state personal care program?

• Homecare Q&A, Issue 19, October 2, 2015

  If the patient does not require a skilled bath, can our agency continue to provide this under the...

Can you please explain what specifically needs to be under the supervisions of licensed professionals?

• Homecare Q&A, Issue 19, October 2, 2015

  Can you please explain what specifically needs to be under the supervisions of licensed...

We are having an issue with noncoverage for therapy. What are the rules for therapy services to be covered? Could you explain and expand, providing some examples?

• Homecare Q&A, Issue 19, October 2, 2015

  We are having an issue with noncoverage for therapy. What are the rules for therapy services to be...

We have been told that the following documentation would position us for a potential claim denial. Can you help explain?

• Homecare Q&A, Issue 19, October 2, 2015

  We have been told that the following documentation would position us for a potential claim denial...

We have received a request from a physician office to have one of our employees be on-site to accept and process referrals for home health and hospice.

• Homecare Q&A, Issue 19, October 2, 2015

  We have received a request from a physician office to have one of our employees be on-site to...

How do we update the comprehensive assessment for a major deterioration in status with the PPS payment requirements?

• Homecare Q&A, Issue 18, September 17, 2015

   This patient’s change in condition has a real impact on resource utilization—an...

What should be our frequency of visits?

• Homecare Q&A, Issue 18, September 17, 2015

   We have an 87-year-old woman who was referred by the wound care center for care of a wound...

Do regulations mandate any particular form or format for documentation or confirmation of verbal orders?

• Homecare Q&A, Issue 17, September 8, 2015

  No. The regulations do not mandate any particular form or format for documentation or confirmation...

Is it true that instead of discharging patients when goals are met, we can recertify them under management and evaluation?

• Homecare Q&A, Issue 15, August 3, 2015

  What this agency heard is in error and could lead to denials. Just as with any Medicare-covered...

How are we supposed to use observation and assessment for patients on telemonitoring?

• Homecare Q&A, Issue 15, August 3, 2015

  Telemonitoring or telehealth is one technology that can help a patient in the home. It cannot...

Is it permissible for a hospital discharge planner to make an entry into a patient hospital record and have the physician sign the entry (to support home health eligibility)?

• Homecare Q&A, Issue 15, August 3, 2015

  Is it permissible for a hospital discharge planner to make an entry into a patient hospital record...

How to score an incomplete OASIS?

• Homecare Q&A, Issue 15, August 3, 2015

  I am specifically looking for the guidance indicating that, when an OASIS assessment is not...

If there are verbal orders at start of care, do we need to use Locator 23?

• Homecare Q&A, Issue 14, July 16, 2015

  This locator applies only if verbal orders are involved in the start of care process. It...

Is it true that we must receive the signed plan of care and all verbal orders prior to submitting the claim?

• Homecare Q&A, Issue 14, July 16, 2015

  Yes, it’s true. You can find that requirement in CMS Publication 100-2, Chapter...

Can physical therapy go out and have consents signed and perform an evaluation before the nurse gets to the home to complete the OASIS as long as it is all done the same day?

• Homecare Q&A, Issue 14, July 16, 2015

  The only similar guidance found was according to CMS’ OASIS Q&A:

I am wondering how to answer OASIS assessment "M" items when an OASIS assessment is needed for a payer change, but one does not exist.

• Homecare Q&A, Issue 14, July 16, 2015

  Thanks for your question and commitment to compliance. In cases where you learn after the fact...

How do we get paid when we have two different payers?traditional Medicare (Part A) and MA?within the same 60-day episode?

• Homecare Q&A, Issue 13, July 2, 2015

  If a patient switches from traditional Medicare to MA, the agency will receive a partial episode...

What would be the response for M0150, Current Payment Sources, for an MA patient?

• Homecare Q&A, Issue 13, July 2, 2015

  AM0150 would be answered “2”—Medicare (HMO/managed care/Advantage plan). It is...

Do we answer M0063, Medicare Number, with the patient?s now-defunct Medicare number or the new MA policy number?Do we answer M0063, Medicare Number, with the patient?s now-defunct Medicare number or the new MA policy number?

• Homecare Q&A, Issue 13, July 2, 2015

  When a patient joins a Medicare Advantage (MA) plan, he or she takes on a subscriber number, but...

We continue to have confusion over what is considered a ?nonroutine supply.? Can you help clarify?

• Homecare Q&A, Issue 13, July 2, 2015

  The coverage of nonroutine supplies is probably the most confusing component of the consolidated...

Will Medicare cover lymphedema therapy?

• Homecare Q&A, Issue 13, July 2, 2015

  Lymphedema therapy is an extensive treatment involving a combination of manual decongestive therapy...

Can physical therapy be considered the qualifying service to establish a need for ongoing occupational therapy?

• Homecare Q&A, Issue 13, July 2, 2015

  Occupational therapy cannot qualify a patient for coverage initially, but after the patient has had...

What can trigger an ABN, and what must be documented? What about an HHCCN?

• Homecare Q&A, Issue 13, July 2, 2015

  The ABN (CMS-R-131) is a written notice that the agency must provide to a PPS Medicare-eligible...

Should there be one signature per order, or can orders be batch signed?

• Homecare Q&A, Issue 13, July 2, 2015

  As long as the order is a complete order for a treatment or therapy, you may have more than one...

Homecare Q&A

• Homecare Q&A, Issue 13, July 2, 2015

  July 3, 2015

If an agency discharges a patient with goals met but then readmits him or her within 60 days of discharge, would the new episode be an early or later one for M0110, episode timing?

• Homecare Q&A, Issue 12, June 15, 2015

  If an agency discharges a patient with goals met but then readmits him or her within 60 days of...

How do we determine diagnosis and priority?

• Homecare Q&A, Issue 12, June 15, 2015

  Q: We are seeing a patient with Alzheimer’s disease, who was hospitalized for advanced...

What about goals, rehabilitation potential, and discharge plans? What are some key points we need to keep in mind while entering those into the 485?

• Homecare Q&A, Issue 12, June 15, 2015

  What about goals, rehabilitation potential, and discharge plans? What are some key points we need...

What is the proper way to enter in orders for disciplines and treatments on the 485?

• Homecare Q&A, Issue 12, June 15, 2015

  What is the proper way to enter in orders for disciplines and treatments on the 485?

Where can I find that it would be illegal to charge a Medicare home health patient prior to rendering services, while reimbursing patient once CMS has paid the claim?

• Homecare Q&A, Issue 12, June 15, 2015

  Assignment of benefits - This term means that the facility or the physician agrees to accept...

What does Patient Care 484.60: Care Planning, Coordination of Services and Quality of Care mean for agencies?

• Homecare Q&A, Issue 8, June 9, 2015

   First, let’s review for everyone reading what the current CoP is and what is being...

When there is a patient who might be a candidate for maintenance therapy, how do we conduct a proper assessment to determine what kind of therapy is needed?

• Homecare Q&A, Issue 0, June 9, 2015

  Although the diagnosis and the functional limitations do not stand alone in determining the medical...

Can we use standing orders for many of our specialty programs, like wound care?

• Homecare Q&A, Issue 11, June 3, 2015

  Can we use standing orders for many of our specialty programs, like wound care?

Can we accept orders from a physician?s secretary or office nurse who is communicating with us instead of the physician?

• Homecare Q&A, Issue 11, June 3, 2015

  Can we accept orders from a physician’s secretary or office nurse who is communicating with...

What do we do if a patient has been snatched away from us?

• Homecare Q&A, Issue 11, June 3, 2015

  What do we do if a patient has been snatched away from us?

Can a nurse practitioner who runs her own practice make a referral to a home health agency?

• Homecare Q&A, Issue 11, June 3, 2015

  Can a nurse practitioner who runs her own practice make a referral to a home health agency?

How are we supposed to use observation and assessment for patients on telemonitoring?

• Homecare Q&A, Issue 10, May 17, 2015

  How are we supposed to use observation and assessment for patients on telemonitoring?

How can extended daily visits be justified and covered?

• Homecare Q&A, Issue 10, May 17, 2015

  How can extended daily visits be justified and covered?

Where can I find the rule about physician cosigning of a nurse practitioner's order so the order is valid?

• Homecare Q&A, Issue 10, May 17, 2015

  Where can I find the rule about physician cosigning of a nurse practitioner’s order so the...

Where is it specifically written that an NP or a PA cannot sign homecare orders?

• Homecare Q&A, Issue 10, May 17, 2015

  Where is it specifically written that an NP or a PA cannot sign homecare orders?

Can we use "zero" as a frequency in writing physician orders?

• Homecare Q&A, Issue 10, May 17, 2015

  Can we use “zero” as a frequency in writing physician orders? For example, physical...

Can a single physical therapy visit determine a need for occupational therapy that is covered under Medicare?

• Homecare Q&A, Issue 10, May 17, 2015

  Can a single physical therapy visit determine a need for occupational therapy that is covered under...

What are the new therapy reassessment requirements that CMS solidified in its 2015 PPS final rule?

• Homecare Q&A, Issue 10, May 17, 2015

  What are the new therapy reassessment requirements that CMS solidified in its 2015 PPS final rule...

If a RN sees a patient on Monday, April 13, 2015, when is the next supervision visit due?

• Homecare Q&A, Issue 10, May 15, 2015

  If a RN sees a patient on Monday, April 13, 2015, when is the next supervision visit due? I...

What does the proposed standard Patient Care 485.65: Quality Assessment & Performance Improvement mean for my agency?

• Homecare Q&A, Issue 9, May 3, 2015

  My agency has been reviewing the proposed Conditions of Participation (CoP). We are looking at the...

What should you do about a tardy recertification assessment?

• Homecare Q&A, Issue 9, May 3, 2015

  What should you do about a tardy recertification assessment? It’s the fifth day of the...

What happens to patients who can self-inject but cannot pre-fill insulin syringes?

• Homecare Q&A, Issue 9, May 3, 2015

  What happens to patients who can self-inject but cannot pre-fill insulin syringes?

When does Medicare consider a wound as chronic/nonhealing and no longer pay for services?

• Homecare Q&A, Issue 9, May 3, 2015

  When does Medicare consider a wound as chronic/nonhealing and no longer pay for services?

Is it an appropriate use of Medicare to do three weeks of assessment and venipuncture for a patient hospitalized with deep vein thrombosis (DVT)?

• Homecare Q&A, Issue 9, May 3, 2015

  Is it an appropriate use of Medicare to do three weeks of assessment and venipuncture for a patient...

Do we answer M0063, Medicare Number, with the patient?s now-defunct Medicare number or the new Medicare Advantage (MA) policy number?

• Homecare Q&A, Issue 8, April 17, 2015

  When a patient joins an MA plan, he or she takes on a subscriber number, but the patient’s...

When are you to begin counting the 30 days from assessment to assessment?

• Homecare Q&A, Issue 8, April 17, 2015

  The final rule, and the corresponding correction that CMS put out regarding the therapy...

When was the final rule issued that therapy goals must be delineated as short- and long-term with explicit completion time frames?

• Homecare Q&A, Issue 8, April 17, 2015

   The 2015 final rule for home health PPS changed the policy on Medicare therapy reassessments.

Can you shed some light on specific circumstances that warrant the resumption of care assessment?

• Homecare Q&A, Issue 7, April 3, 2015

  The ROC assessment is completed any time a patient has returned home following an inpatient stay of...

Where in the CMS guidelines does it indicate that there should be short-term and longterm goals for therapy?

• Homecare Q&A, Issue 7, April 3, 2015

  Palmetto and CGS have specific local coverage determinations (LCD) regarding shortand long-term...

How can we ensure we?re meeting and documenting eligibility requirements effectively?

• Homecare Q&A, Issue 7, April 3, 2015

  Before offering the Medicare Hospice Benefit (MHB) to a beneficiary, the hospice must first verify...

Is it true that we need to change our process and submit ALL OASIS assessments to the AS

• Homecare Q&A, Issue 6, March 17, 2015

   Yes, all Medicare, Medicare Advantage, and Medicaid OASIS assessments must be transmitted.

How can I ensure more effective meetings at our agency?

• Homecare Q&A, Issue 5, March 3, 2015

  We spend a tremendous amount of time in meetings. Many of them are boring, nonproductive, and...

Is it true that the physical therapist has to make a visit no less than once every two weeks when a physical therapy assistant is involved with the same case and primarily doing most visits?

• Homecare Q&A, Issue 5, March 3, 2015

  On the federal level, the CoPs/ Medicare Benefit Policy Manual states that for all certified...

Is there a requirement to have our annual program review/PAC minutes approved by our board of directors each year?

• Homecare Q&A, Issue 5, March 3, 2015

  There is not a specific Condition of Participation (CoP) stating that the board must review your...

Will home health remain exempt from overtime compensation in most circumstances like it has for 40 years?

• Homecare Insider, Issue 1, January 5, 2015

  Will home health remain exempt from overtime compensation in most circumstances like it has for 40...

January 3, 2013

• Homecare Q&A, Issue 1, January 3, 2013

   Access the January 3, 2013 issue of Homecare Q&A.