For many months, CMS has not been clear as to when agencies should begin using OASIS-C2. They have confirmed that the (M0090) Date Assessment Completed date should guide when the OASIS-C2 assessment should be completed. The OASIS-C1 dataset should be used for all assessments in which the M0090 date is on or before 12/31/2016 (11:59
Compliance with the Improving Medicare PostAcute Care Transformation (IMPACT) Act of 2014 was the major impetus for implementation of OASIS-C2. Learn more about the IMPACT Act by downloading this job aid.
Effective July 18, 2016, all Medicare-certified healthcare organizations must notify patients about how they comply with nondiscrimination requirements. Section 1557 of the Affordable Care Act (ACA) prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. Within this rule, § 92.8 Notice Requirements, specifies that healthcare organizations take initial and continuing steps
On January 1, 2016, Change Request 9369 goes into effect, requiring that home health and hospice agencies use two separate G Codes when billing for skilled registered nurse (G0299) and licensed practical nurse services (G0300) to distinguish which service was provided during each visit. The reason for this change is to support compliance with the Service
Have your clinicians been complying with Change Request 9189 of the Program Integrity Manual (Pub 100-08) involving a new certification requirement that applies to recertifications? This update requires a statement on the recertification certification/plan of care by the certifying physician estimating how much longer skilled services will be required. This statement is part of the
CMS recently posted a proposed electronic progress note template that it developed for physician’s to use to document and support the physician face-to-face encounter requirements. Because the form has not yet been approved by the OMB, use of the progress note is entirely voluntary and optional. It is intended ONLY to assist the physician or
Based on the FY 2015 Final Rule released on 8/5/2015, CMS implemented changes as to how hospice agencies are paid for the Routine Home Care level of care. This change goes into effect on January 1, 2016 and complies with Section 3132(a) of the Affordable Care Act in response to MedPACs analysis of rapid growth of