Delta Connect Blog

Home Health and Hospice Open Door Forum Set for July 8

Posted by Crystal Parks on Jun 29, 2015 9:53:34 AM

cms_home_health_open_door_forum

On Wednesday, July 8, 2015, CMS will host a Home Health, Hospice & Durable Medical Equipment Open Door Forum at 3:30 p.m. Eastern Time.  The agenda includes home health and hospice rule updates, home health star ratings update, information on accessing home health CASPER reports, and publication of the OMB-approved OASIS-C1/ICD-10 data set and final OASIS-C1/ICD-10 manuals. 

To participate, dial 1-800-837-1935 at least 15 minutes prior to the start time of the forum and enter conference ID: 21624265.

Click here for the full agenda for the July 8th meeting.

 

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Topics: CMS Open Door Forum, Hospice, Home Health

ICD-9/ICD-10 Dual Coding for Home Health and Hospice

Posted by Crystal Parks on Jun 22, 2015 10:41:56 AM

ICD-10_ICD-9_Dual_Coding

With ICD-10 codes being required beginning October 1, 2015, home health and hospice providers need to prepare for dual coding prior to the October deadline.  With 60-day episodes for home health and 90-day episodes for hospice, agencies could find themselves in a situation where ICD-9 codes must be used for the start of care OASIS and ICD-10 codes must be used for final claim submissions. 

The first home health 60-day episode that will end on October 1 is August 3, and the first day of a hospice 90-day episode will be July 4.  If the OASIS and the plan of care are created using dual coding, the ICD-10 codes will already be known when the time comes to submit the final claim. Of course, dual coding would take extra time and resources to complete at the start of the episode, so it will be up to each agency to decide what works best.  

Is your home health and hospice organization taking the necessary steps to be ICD-10 compliant?

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Topics: ICD-10

Palmetto GBA Awarded MAC Jurisdiction M by CMS

Posted by Crystal Parks on Jun 18, 2015 6:01:00 PM

palmetto_gba

CMS has announced that Palmetto GBA will be the A/B Medicare Administrative Contractor (MAC) for Jurisdiction M, formally Jurisdiction 11, beginning on July 13, 2015.  Palmetto GBA will be the administrator for Medicare Part A and Part B Fee-for-Service (FFS) claims as well as the Home Health and Hospice Region C service area. 

Palmetto GBA will be the MAC for Medicare Part A and Part B Fee-for-Service (FFS) claims for the States of Virginia, West Virginia, North Carolina, and South Carolina.  Home Health and Hospice Region C service area includes Alabama, Arkansas, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, and Texas.

Providers should not see any change in the MAC's work since Palmetto GA is the incumbent contractor for MAC Jurisdiction 11, the current MAC workload numbers will remain the same. 
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Topics: Home Health Claims, CMS

New Hospice PEPPER Available

Posted by Crystal Parks on Jun 10, 2015 11:34:22 AM

Hospice_PEPPER

 

TMF® Health Quality Institute (TMF) released the new Hospice PEPPER. Version Q4FY14 summarizes statistics for fiscal years 2012, 2013, and 2014 and is available through the PEPPER Resources Portal.  The PEPPER includes four new target areas, which were added in response to the Office of Inspector General (OIG) report.  The recently-released OIG report identified concerns with hospice services provided to beneficiaries residing in an assisted living facility.

The new PEPPER summarizes statistics in the following target areas:

  1. Live discharges
  2. Long length of stay
  3. Continuous home care in assisted living facility
  4. Routine home care in assisted living facility
  5. Routine home care in nursing facility
  6. Routine home care in skilled nursing facility

As of June 5, 2015, 57% of hospice providers had not yet retrieved the Hospice PEPPER according to TMF.

For more information on accessing your PEPPER, see the Distribution page.

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Topics: Hospice Payments, Hospice

Position Your Home Health Agency for Ongoing Success

Posted by Crystal Parks on May 26, 2015 4:18:24 PM

 Home Health Agency Success

Are you and your home health agency striving to be successful in today’s healthcare environment?  Are you looking for the perfect competitive advantage?  

Delta Health Technologies’ believes that effectively coordinating care for a patient, producing the best results to remain competitive, and having the ability to connect to the “healthcare ecosystem” is essential for an agency’s success.  

But how can you maintain a balance. This combination, when executed well, can put an agency ahead of its competitors. Although these three C's seem completely independent, they are all essential in agency success.  

Care Coordination

Agencies must have the ability to provide whatever care a patient may need in their home setting, whether traditional home health, hospice, and/or private duty services.

Competitiveness

Agencies must also be the lowest cost providers in their markets to be able to effectively bid on contracts with larger Accountable Care Organizations or their equivalents.

Connections

Agencies must have a software solution that is able to connect to hospital systems, physician systems, telehealth vendors, supply vendors, CRM’s, and the list goes on and on.  

Click on the link below to learn more about our Three C’s for Home Health Success eBook, and how it can help your agency be an industry leader.

 

Download the Free E-book

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Topics: Private Duty, Hospice, Home Health

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