Transition to Value-Based Care The healthcare industry, particularly home health, is a landscape that is constantly changing with frequent updates on regulatory requirements and new standards. In an effort to improve payment systems, the Centers for Medicare and Medicaid Services (CMS) has recently been… Read More »[QRP] Quality Reporting Program: Why You Should Pay More Attention to It
When OASIS submission, coding, and QA review were streamlined, Qavalo’s client agencies saw significant improvements in their OASIS turnaround time and realized better compliance and profitability. With the right outsourcing partner, Qavalo clients have been able to get the support their in-house teams need… Read More »PDGM Challenges: Optimizing Profitability Through Efficient OASIS Turnaround
LUPA and the Pandemic In the first few months of the Patient-Driven Groupings Model (PDGM), the frequency of low-utilization payment adjustments (LUPAs) increased for many home health providers to 9.5% according to a home health news source. While this aligns with the projection from the… Read More »Real LUPA Scenarios: Finding What Works
The Challenge The Centers for Medicare & Medicaid Services (CMS) addressed concerns regarding GG codes in the recently released Outcome Assessment Information Set (OASIS) Q&As for quarter 1 of 2021. Clinicians still find it challenging to correctly assess and code the functional M items and… Read More »OASIS Q1 Update: Decoding GG Codes
