Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted MLN Matters Number: MM13020 (3 pages) relating to Change Request 13020.  When disaster conditions (such as hurricane or wildfire) make submission of OASIS assessments impossible, Medicare may issue a waiver indicating OASIS submission is waived. In this case, HHAs should report condition code…… Continue reading Home Health Changes for Disaster Claims and Certain Adjustments

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The January 2023 quarterly refresh for the Home Health Quality Reporting Program is now available on Care Compare. For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. For additional information on the COVID-19 public health…… Continue reading Care Compare Quarterly Refresh – January 2023

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare This morning (January 17, 2023), CMS posted the January 2023 CMS Quarterly OASIS Q&As. This document is intended to provide guidance on OASIS questions that were received by CMS help desks. Responses contained in this document may be time-limited and may be superseded by guidance published…… Continue reading January 2023 CMS Quarterly OASIS Q&As

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Upcoming Live Streaming Event! First Performance Year Quick Guide To provide home health agencies (HHAs) with a review of what to expect in the first performance year of the expanded HHVBP Model and highlight the resources provided during the pre-implementation year, the HHVBP Technical Assistance (TA)…… Continue reading Expanded HHVBP Model: Live Event Registration and Updated Resource Available  

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted the Wednesday, December 7, 2022- Transcript, Q&A and Audio-Home Health, Hospice and DME Open Door Forum. This is a .zip file.  Here’s what you’ll see when you open that file:

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare DATE: January 11, 2023 TO: Iowa Medicaid Hospice, Home Health Services and Waiver Providers including Individual Consumer-Directed Attendant Care (CDAC) Providers APPLIES TO: Managed Care (MC), Fee-for-Service (FFS) FROM: Iowa Department of Health and Human Services (HHS), Iowa Medicaid RE: Electronic Visit Verification (EVV) Stakeholder Engagement…… Continue reading Iowa Providers: Electronic Visit Verification (EVV) Stakeholder Engagement Sessions

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare For this refresh, Home Health (HH) Outcome and Assessment Information Set (OASIS) will be based on the standard number of quarters. Due to the COVID-19 reporting exceptions, the claims-based measures have been calculated excluding Q1 and Q2 2020 data from measure calculations. For additional information, please…… Continue reading HH Preview Reports and Star Rating Preview Reports for the April 2023 Refresh

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The next Home Health, Hospice & DME Open Door Forum is scheduled for: Wednesday, January 11, 2023 PM at 2:00 PM-3:00 PM Eastern Time (ET). Please call at least 15 minutes prior to the forum start time. **This Agenda is Subject to Change** Opening Remarks Chair…… Continue reading Home Health, Hospice & DME Open Door Forum – January 11, 2023   

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS issued Transmittal 11777 – Change Request 12957 on January 4, 2023. Also, a corresponding 3-page MLN Matters: Home Health Prospective Payment System: CY 2023 Update. 

Mary Madison, RN, RAC-CT, CDP  Clinical Consultant – Briggs Healthcare CMS added 3 new modifiers for home oxygen use under national coverage determination (NCD) 240.2 to indicate the appropriate treatment regimen and presence of supporting documentation for each Medicare patient group: Section B, Group I: modifier N1 Section B, Group II: modifier N2 Section D: modifier N3…… Continue reading Home Oxygen: 3 New Claims Modifiers and Home Health Prospective Payment System: CY 2023 Rural Add-on Policy