Accreditation/State Survey/Citations

Home / Accreditation/State Survey/Citations

How we can help you

AHCA Home Care Unit

AHCA Latest News...

CMS Moratorium Extended!

CMS Moratorium extended! in the following geographical areas...

Quality Management Role For The Betterment of Your Agency Picture

Quality Management Role For The Betterment of Your Agency

The Quality Manager can be a catalytic agent between departments in your organization. A Quality Manager in a strategic position in an organization can help improve revenues in multiple ways. Identifying processes assigned to staff ....

CMS Proposed Rule of the Home Health QAPI Program

CMS propose regulations needs more work! Make home care organizations assign the QAPI Program responsibilities to a staff member who is free of conflict between the non-clinical and clinical departments in the home care organization.

Tips

CMS Auditors

There are multiple points in the CMS reimbursement loop for home care agencies to receive denials from RACs Audits. One of those is failing respond to Palmetto GBA auto request for copies of medical records for review because the organization does n

Medicare Secondary Payer (MSP)

Is Medicare responsible to pay the home health bill when a patient suffers an injury and anotherr payer is covering the expences? The answer is complex and it has a high potential for delaying the release of the final bill to Medicare, see MSP.

PEPPER Report

Problems getting your Pepper Report...

CMS Pay for Performance Requirements

What does your organization second QAO Historical Report show? above 70% or higher, if is lower than 70% you have lots of work to do starting with making sure you have the right consultants to help you...

Assisting Medicare Home Health Care Agencies Before, During and After the Accreditation and State Surveys

HHCNT have been there for many home health agencies before, during and after the accreditation and state surveys.

Agency #1 - Cited for incomplete infusion orders and lack of communication among team members. HHCNT assisted the organization to trace the formal processes used by the organization to admit and provide care for a patient on infusion services. Areas identified for improvement were:

  1. Educating Community Liaisons on require information and medical orders for patients who require infusion services.
  2. Providing education to Team Leaders on nursing standards in clinical practice, state regulations on specific requirements when writing orders and how to apply this requirements when writing infusion orders, communicating and documenting coordination of care with other health care providers in the community and the organization's Administration policies and procedures.
  3. Developed a standard Infusion Therapy Verbal Order form and a flow chart to assist clinicians to be consistent when writing infusion. Orders.
  4. Results: Citation lifted.

Agency #2 – Agency placed on 100% Audit by CMS due to overutilization of therapies.One hundred charts audited by CMS, lost revenue only 2%.

Agency #3 – Agency audited for Face to Face, homebound status, reasonable and necessary services. Won 60% of appeals, how? Staff education done monthly on documentation, OASIS-C 1 and clinical practice. The organization has never been cited for any deficiency on state survey.

We always educate our agencies to conduct business every day following the rules and regulations!