The Home Health Care Wire
Your source for CareVoyant and industry news. November 02, 2021
Starting January 1, 2022, Medicare will require Home Health Agencies to submit a one-time Notice of Admission (NOA) instead of Request for anticipated Payment (RAP). Medicare has been phasing out RAP payments for the last two years. The NOA is a one-time submission that establishes the HH POC and covers 30-day payment periods until the patient is discharged.
Software platforms will have to be adjusted to accommodate the new PDGM billing process. The following are some of the requirements.
The quote "If it is not written down, it did not happen" applies to medical records and clinical documentation. It can be expanded to include clarity, consistency, and quality.
Comprehensive, consistent, and complete clinical documentation is critical for home health care agencies for the quality of care to the patient and optimum reimbursement. Improving the quality of clinical documentation will significantly enhance the quality of care and patient satisfaction while reducing the risk of compliance issues during surveys. Compliance issues during the survey may lead to reimbursement delays or reductions.
Payroll processing is very stressful in a home health care agency. With multiple data sources to collect utilization data from and the importance of ensuring processing accuracy, submitting payroll for the payroll processing service or software can be time-consuming and challenging. Prompt and accurate payroll is one of the most important criteria to improve employee satisfaction.
Home Healthcare Industry News
An ‘Awkward Transition Year’: Why 2021 Will Look Different in Home Health with New RAP Adjustments
The U.S. Centers for Medicare & Medicaid Services (CMS) issued its final 2021 home health payment rule in late October. When it came out, some providers were less than pleased.
On one hand, the Patient-Driven Groupings Model (PDGM) wasn’t substantially altered to balance out its flawed behavioral assumptions. On another, there are also a few “quirks” in the rule that will make 2021 a unique, potentially complicated year.
‘Extensive’ Proposed Rule Sets Stage for Value-Based Purchasing, PDGM Adjustments
The U.S. Centers for Medicare & Medicaid Services (CMS) released its FY 2022 home health proposed payment rule on Monday, while simultaneously announcing plans for the nationwide expansion of the industry’s value-based purchasing demo.
While just a few days have gone by, home health stakeholders have already started to zero-in on several key areas — both major and minor — within the 387-page proposal.
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