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Welcome to the Florida Home Bound Blog. This section of our website is specially designed to keep Home Care professionals updated on changes that are occurring in this industry. Click here if you want to submit any updates you find. Your contribution to our blog and/or suggestion is greatly appreciated.

 


Physician Documentation

Updated: 05/10/11

Source: questions.cms.hhs.gov

What is an example of the physician's narrative on the face-to-face documentation?

The certifying physician's face-to-face description should be a brief narrative describing the patient's clinical condition and how the patient's condition supports homebound status and the need for skilled services.

For example:

"The patient is temporarily homebound secondary to status post total knee replacement and currently walker dependent with painful ambulation. PT is needed to restore the ability to walk without support. Short-term skilled nursing is needed to monitor for signs of decompensation or adverse events from the new COPD medical regimen."

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Emergency Management

Updated: 03/28/11

The Miami-Dade Department of Emergency Management (DEM) is developing the County’s Metropolitan Medical Response System (MMRS) Strategy in order to enhance the local health and medical community’s capabilities for responding to, and coordinating, a mass casualty or Chemical, Biological, Radiological, Nuclear, or Explosive (CBRNE) event. This would be done through the provision of MMRS grant monies aimed at funding projects that develop, augment, or enhance the entire county healthcare systems and capabilities.

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STATE ACTS

It is now mandatory to review the State Acts according to your skill. If you have not done so already, please read, sign, and submit the State Acts on the basis of your skill level.

Choose your skill bellow for its State Acts:

››   Registered Nurse

››   Licensed Practical Nurse

››   Physical Therapist

››   Occupational Therapist

››   Speech Therapist

››   CNA/HHA


TAMPA: Selling Home Health Care to Physicians

Source: www.homecarefla.org

Updated: 02/14/11

A One-Day Workshop for Home Health Agency Sales and Marketing Professionals

The Westin Tampa Bay

7627 W Courtney Campbell Causeway
Tampa, FL 33607 United States

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NAHC Reports Continued Challenges and Changes to Health Care Reform

Source: hcaf.wordpress.com

Updated: 02/14/11

While President Obama and many Democrats continue to praise the health care reform law, the law continues to face both legislative and judicial challenges and changes. Last month, the newly Republican-led House of Representatives approved a resolution (H. Res. 9) that would essentially repeal the vast majority of the health care reform law. The Democratic-controlled Senate rejected a similar proposal on a party-line vote February 2.

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CMS Special Open Door Forum: Designing A Home Health Value-Based Purchasing Program

Source: hcaf.wordpress.com

Updated: 02/14/11

The Centers for Medicare & Medicaid Services will host a Special Open Door Forum on designing a value-based purchasing program for home health agencies. The purpose of this forum is to solicit input from all parties interested in the development of the plan for implementing a VBP program in HHAs. The forum will take place on February 24, 2011, 1:30-3:00pm EST.

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8 Miami-Dade County Home Health Nurses Prison-Bound for Fraud

Source: hcaf.wordpress.com

Updated: 02/14/11

AP — Eight Miami-Dade County nurses have been sentenced to prison and ordered to pay restitution for helping two agencies fleece millions from Medicare.

The nurses worked for two home health care agencies, ABC Home Health and Florida Home Health Care Provider.

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CMS Responds to Therapy Assessment Questions

Source: hcaf.wordpress.com

Updated: 02/14/11

In the home health prospective payment system update for 2011, the Centers for Medicare & Medicaid Services (CMS) issued new therapy service reassessment requirements. According to these new Medicare fee-for-service payment regulations, home health patients receiving therapy services must have a reassessment and determination of progress toward goals at least every 30 days, as well as on the 13th and 19th aggregate therapy visit in each episode. Home health agencies have raised questions about scheduling these visits, particularly for patients receiving services from multiple therapy disciplines during an episode. The National Association for Home Care & Hospice (NAHC) received responses from CMS to the following questions.

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CMS Updates Face-to-Face Q&As

Source: hcaf.wordpress.com

Updated: 02/14/11

The Centers for Medicare & Medicaid Services (CMS) updated home health face to face encounter Q&As on Feb. 4th. The following Q&As were added to the CMS web site at the following link for a total of 25 home health-related face-to-face Q&As: Home Health Face-to-Face Encounter FAQs.

Answer ID 10414: Will Medicare requirements be met if hospital discharge planners (physician’s nurse or social worker) completes the face-to-face encounter document based on information from the patient’s medical record and physician’s review and signature?

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Home Health Prospective Payment System Rate Update for Calendar Year 2011 - Pametto GBA

Source: www.palmettogba.com

Updated: 01/05/11

This article informs you that Change Request (CR) 7253 directs Medicare contractors to update the 60-day national episode rates, national per-visit rates, Low Utilization Payment Adjustment (LUPA) add-on amount, and Non-Routine Supplies (NRS) payment amounts under the HH PPS for CY 2011.

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Regional Home Health & Hospice Intermediary - Palmetto GBA

Source: www.palmettogba.com

Updated: 01/05/11

This article is based on Change Request (CR) 6988. This CR advises contractors about the addition of Section 3.15, ABN and Complex Medical Record Review, to Chapter 3 of the Medicare Program Integrity Manual (PIM). This addition directs contractors to request, as part of the Additional Documentation Requests (ADRs), required ABNs when performing a complex medical record review on all claims.

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PPACA Expands HHS Powers Over Health Care Fraud and Abuse

Source: www.healthlaw-blog.com

Providers will face increased fraud and abuse enforcement under the PPACA.  The PPACA makes a first year allocation of $95 Million to fraud enforcement, with a total of $250 Million over the first 5 years.  The PPACA also includes new tools for the government to use in enforcing fraud and abuse against the health care system.

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Final Change of Ownership (CHOW) Rules for Home Health Agencies

Source: www.healthlaw-blog.com

On November 17, 2010, the Center for Medicare and Medicaid Services issued final Home Health PPS rate updates for the year 2011.  The regulations included final rules regarding the “36 Month” rule that is applicable to changes of ownership of home health agencies. This rule is commonly referred to as the “CHOW” rule. CMS initially proposed the home health change of ownership rule in 2010. The proposed rule applies if a home health agency owner sells, transfers or relinquishes ownership of the agency within 36 months after the initial enrollment in Medicare. 

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Physician MUST Date Signature on Home Health Certifications & Recertification’s Effective Jan. 1, 2011

The NAHC article below describes a significant change in CMS policy regarding the dating of physician’s signature. Because many physicians when signing the Plan of Treatment (POT/485) often forget to date the document this change (along with all the others that we are facing) could cause you numerous headaches and problems in the reimbursement of Medicare claims. Please read about the change below and implement new processes within your organizations immediately.

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Physician MUST Date Signature on Home Health & Hospice Certifications/ Recertification's Effective Jan. 1, 2011

Source: hcaf.wordpress.com

Effective Jan. 1, 2011, all Medicare home health and hospice certifications and re-certifications must be not only signed by the ordering physician, but also must be dated by that physician. During a conference call last week, the Centers for Medicare & Medicaid Services (CMS) advised its contractors of this interpretation of the final rule updating the home health prospective payment system for 2011 that was published in the Nov. 17 Federal Register.

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Face-To-Face (FTF) Encounters for Home Health Certification

Required for start of care home health certifications on/after January 1, 2011.

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HH PPS Update for 2011 Part 2

Source: hcaf.wordpress.com

HHCAHPS

To receive a full market basket update in 2012, there will be a dry run of data from at least one month in the third quarter of 2010, and HHCAHPS survey data from the 4th quarter of 2010 and the 1st quarter of 2011 must be submitted to the HHCAHPS data center. Owners of HH agencies or those who staff them would be prohibited from being approved as CAHPS vendors.

Therapy services and documentation

This area includes new functional assessment and reassessment criteria, therapy goal criteria as well as clinical documentation requirements.  Timelines are provided for visits for a “qualified therapist” (not a therapy assistant) on the 13th and 19th visits and every 30 days. 

Read More >>


 

More Information (click the links below)

Approval Process for Medicare Branch HHA Offices

Compliance Program Guidance for Home Health Agencies

Florida Medicaid - Home Health Services Handbook

Health Care Reform Provisions Affecting Older Adults

How Are Florida's Different Home Care Providers Regulated?

Home Health Licensing Procedure

Hurricane Update

Medicare Home Health Agency Survey and Certification Deficiencies

Risk Management Initiative

UHealth ClearVision Management Plan

Web Site User and Data Submission Manual, Version 1.0