Medicare Home Health

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Encouraging Physicians to Properly Complete Face to Face Encounters

Physicians may find themselves being denied payment by CMS for Case Management overseen fees and office visits due to poor documentation in their patient\\\'s medical record.

CMS Quality Measurements Projects and the Goals

CMS is presently developing outcome core measures that are patient oriented and cross providers setting during the continuum of care.

Understanding Medicare Secondary Payer (MSP)

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

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...


OASIS Tip - M1600 Patients discharged with an UTI on discharge and PAEs Report

Are your Potentially Avoidable Events (PAEs) Report showing an increase in patients being discharged while having an UTI?


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?

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...

Medicare Home Health 

Skilled Services are define by Medicare (CMS) as the care that a patient having a medical condition e.g. pressure ulcer, Hypertension, Stroke may require from a license healthcare provider as a Registered/License Practical Nurse, Physical Therapist (PT/ST/OT) or Social Worker.
Medicare home health services are not available to provide personal care or manage chronic conditionsA Case Manager (RN or a Therapist) will be assign to you. The Case Manager responsibilities include coordinating services with other health care providers For example, if the Case Manager evaluates that the patient may benefit from assistance from a Social Worker (MSW) to assist with identifying, managing and obtaining services that will assist with improving the patient's medical condition, the Case Manager will consult your physician for an order.