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Category \ Regulatory


Often in reviewing clinical records, quality assurance (QA) staff look for items that are not a concern for surveyors or auditors. Inconsistency, requests, and phone calls from QA while doing visits and interruptions when at home all add to the … Keep Reading
Because the Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) survey will be critical in the upcoming value-based purchasing environment, home health organizations need to be aware of what the survey measures and how to optimize HHCAHPS performance. … Keep Reading
Patient satisfaction is now even more of a focus for home health organizations as adjustment payments will soon place more emphasis on value. In doing so, Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS) surveys will take on … Keep Reading
The hospice industry is no stranger to regulatory and compliance matters but lately they have become more stringent. As hospice professionals, we work diligently to exceed the regulations outlined in the Hospice Conditions of Participation, yet when we evaluate the … Keep Reading
While the transition to the no-pay Request for Anticipated Payment (RAP) in 2021 came with a learning curve, Medicare’s slow progression away from the RAP was ultimately preparing the home healthcare industry to forget about the RAP altogether. As the … Keep Reading
The value-based insurance design (VBID) demonstration model began its four-year run at the start of 2021 with only 8% of the market offering the hospice benefit. As the demonstration model approaches its second year, more Medicare Advantage (MA) plans are … Keep Reading
COVID-19 vaccinations are now required for all healthcare workers serving clients in a Centers for Medicare and Medicaid Services (CMS) program. Workers must be at least partially vaccinated by December 5 and fully vaccinated by January 4, 2022. As new … Keep Reading
Hospice survey and enforcement requirements will change soon. These additions to the Social Security Act by the Centers for Medicare and Medicaid Services (CMS) are split into seven separate provisions. Several of these provisions directly affect hospice organizations and are … Keep Reading
Hospices need to adjust their best practices to meet the standards required in the new Hospice Care Index (HCI). The HCI is a claims-based quality measure reported throughout the patient’s lifecycle. It is made up of 10 indicators that represent … Keep Reading
Circulatory and heart diseases are common diagnoses in hospice care, second to cancer. However, because their symptom management and disease management are often very similar, determining an accurate prognosis can be challenging. Are these chronic symptoms or is this a … Keep Reading
A good patient outcome is the direct result of a good plan of care. This plan is only beneficial if it is developed around confirmed patient diagnoses. Complete and accurate coding of patient diagnoses is the foundation for care provided … Keep Reading
During my years as a home care administrator, I spent more time than I wanted to tracking licenses and other compliance items for employees. Since it is a necessary part of running a home care organization, streamlining that tracking is … Keep Reading

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