Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The updated draft OASIS-E All Items Instrument is now available in the Downloads section of the OASIS Data Sets webpage. A log of changes since posting in February is also available. OASIS-E will be effective January 01, 2023. Please note the instrument is not yet final. Office of Management and…… Continue reading NOW AVAILABLE: Updated Draft OASIS-E Instrument and Changes

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The draft Guidance Manual for the OASIS-E version of the OASIS data set, effective January 1, 2023, is available in the Downloads section on the OASIS Users Manuals page.  The updated draft OASIS-E All Items Instrument is now available in the Downloads section of the OASIS Data Sets webpage. A…… Continue reading NOW AVAILABLE: Draft OASIS-E Guidance Manual

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare In April 2022, CMS will begin publicly reporting on the Care Compare website the percentage of patients in home health care who fell and endured major injuries for each home health agency (HHA). HHAs report falls in patient assessments using the standardized Outcome and Assessment Information…… Continue reading Accuracy of Falls Reporting in Home Health OASIS Assessments   

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare In a report, the Office of Inspector General found that Medicare improperly paid some claims for home health services with 5–7 visits in a payment episode. Review home health prospective payment system (PPS) information to properly bill for services slightly above the low utilization payment adjustment threshold. Visit the…… Continue reading Home Health Low Utilization Payment Adjustment Threshold: Bill Correctly 

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The achievement thresholds and benchmarks for each quality measure in the expanded HHVBP Model are now available on the Internet Quality Improvement and Evaluation System (iQIES) portal: https://iqies.cms.gov/. The achievement thresholds and benchmarks were calculated by cohort using quality measure data for the Model baseline year,…… Continue reading Expanded HHVBP Model – Achievement Thresholds and Benchmarks Now Available on IQIES   

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS posted Transmittal 11386 – Change Request 12615 on April 27, 2022. Look for the red ink on pages 7, 8 and 9 of this 9-page Transmittal.

Mary Madison, RN, RAC-CT, CDP    Clinical Consultant – Briggs Healthcare There are incorrect date ranges included for the Acute Care Hospitalization measure on the Quality of Patient Care Star Rating Preview Report, however, all included provider measure scores are accurate. The report should note that the Acute Care Hospitalization claims-based measure reports data from July 1,…… Continue reading Quality of Patient Care Star Rating Preview Reports (HH) for the July 2022 Refresh and Care Compare Quarterly Refresh – April 2022

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. This refresh resumes the reporting of all claims-based measures for the Home Health Quality Reporting Program (QRP). Due to the COVID-19 reporting exceptions, the claims-based…… Continue reading HH Preview Reports and Star Rating Preview Reports for the July 2022

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS has posted the latest Quarterly OASIS Q&As document. This 3-page Q&A addresses: Completing an RFA 8 – Death at homeTransported to the hospital and was placed in observation where they expired. Would we complete the RFA 7M2020/M2030M2020 – Management of Oral Medications in ALFGG0130A…… Continue reading April 2022 CMS Quarterly OASIS Q&As

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, April 20, 2022, PM at 2:00-3:00 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 – Updated Agenda for April 20, 2022