The Centers for Medicare & Medicaid Services (CMS) has released the latest OASIS Q&As, which provide guidance to OASIS questions received by their help desk from the fourth quarter of 2021. This set of Q&As includes a number of insights, such as updates on OASIS-E,… Read More »Eyes Here: New OASIS Q&As (January 2022)
It has been a rough start to 2022 with the onset of the COVID-19 Omicron variant spreading like wildfire. This alone makes it difficult to predict what will happen in the coming months. As the public health emergency drags on, it creates a domino effect… Read More »[2022] What’s on the Horizon for Home Health?
Similar to the risks of failing to sign a legal document, home health documentation signatures are critical as it validates the healthcare services received by patients. The purpose of a practitioner’s signature in patients’ medical records and other important documents is to demonstrate that services… Read More »Signed, Sealed, Delivered: Home Health Documentation Signature Guidelines
Some changes to the home health Conditions of Participation (CoP) that were implemented during the COVID-19 public health emergency (PHE) have been made permanent in the 2022 home health final rule effective January 1st. One of these changes is the blanket waiver that allows occupational… Read More »CoP Changes for Occupational Therapists
The Centers for Medicare & Medicaid Services made updates to the functional-level points thresholds in the CY 2022 final rule. CY 2020 claims data were used to update the functional points and functional impairment levels by the clinical group. The update includes decreasing points on… Read More »Heads Up: New Changes in the Functional Level Scoring
The CY 2022 home health final payment rule implements important changes in PDGM calculations. Among these changes is the expansion of the comorbidity groups. Nine (9) new subgroups were added to the Low Comorbidity category, while three (3) existing ones were removed, for a total… Read More »Be Updated: New CY 2022 Comorbidity Subgroups
*In the interest of client confidentiality, the agency name was changed for this case study. Using efficient coding and OASIS documentation solutions, Endeavor Home Care optimized its reimbursement levels and improved the performance of its clinicians with the help of Qavalo. Qavalo’s expert coders were… Read More »How Proactive Coding and a Comprehensive OASIS QA Program Can Help Optimize Reimbursements
Medical Necessity: A Top Reason for Denials During the first quarter of 2021, the top five reasons for denials identified by Medicare Administrative Contractors revolve around inadequate medical necessity documentation. This can also be linked to a related data from Q1 of 2020 identifying 32%… Read More »Medical Necessity Documentation 101
The Centers for Medicare & Medicaid Services (CMS) recently released the 2022 home health final payment rule. The highlight of which is how agencies nationwide will soon be subject to the Home Health Value-Based Purchasing (HHVBP) Model, which is recognized as one of the most… Read More »In Summary: 2022 Home Health Final Rule
QAPI: What is it and why is it important? As the pressure to transition towards value-based care increases, home health agencies must implement an effective Quality Assurance and Performance Improvement (QAPI) program to improve patient care and documentation, and maintain compliance with the Conditions of… Read More »How to Build an Effective QAPI Program
