Clinical Management

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Quality Assurance data for Performance Improvement

How specific are your clinicians when developing a Patient Fall Program? How do you track and educate clinicians to reduce and or prevent patient injuries related to patients\' falls? The Triangle Pyramid...

Up-date to ICD-10!

Changes to ICD-10 for 2018-2019 from the CDC!

Understanding Medicare Secondary Payer (MSP)

Understanding the role that Medicare Secondary Payer plays to patient care and your agency is critical.

Submitting Request for Records to Medicare Picture

Submitting Request for Records to Medicare

More than 47% of denials by PalmettoGBA for the period of 10/2017-12/2018 were related to...... Read More...


Ready for CMS QAPI Program?

According to CMS in 2011 several nursing homes providers begun testing CMS QAPI Program, Quality Assurance (QA) and Performance Improvement (PI), Program which includes Five Elements...


Patients falls are a marker of frailty, immobility...

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology. Picture

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology.

Have you downloaded the CMS PDGM Excel file from the CMS Home Health Agency Center?

The Role of Clinical Manager in a Medicare Home Health Agency

Clinical Manager oversees the care of patients, clinical staff and uses Evidence Base Practice (EBP) to improve patient outcomes and controls overutilization of services. The Home Health Quality Improvement Initiative provides free written and video educational materials based on EBP for clinicians and patients that can be use by the home health agency. Clinicians can utilize the information to provide consistent care that will lead to improve patient outcomes in targeted diseases as CHF, Diabetes, HTN, and Pneumonia.

Maintaining Educational Materials

Educational Materials for clinicians can be utilized for educational in-service which will help to meet accreditation bodies requirements and reduce education cost. Medication mismanagement is a very important issue for patients in the community, which according to the literature it one of the common causes of re-hospitalization. For more information visit FDA Click Here