CMS published Transmittal 192 on August 1, 2014 concerning clarifying the definition of confined to the home as part of homebound status. The instruction clarifies the definition of the patient as being "confined to the home" to more accurately reflect the definition in Section 1835(a) of the Social Security Act. It has removed vague terms such as "generally speaking" to ensure clear and specific requirements.
Home health agencies should be aware that MACs, RACs, ZPICs, and CERTs will be focusing on home bound status. This should be the number one documentation issue for all home health agencies. You should document the home bound status on admission and on every skilled care note. Remember you can only rely on what is documented to defend your home bound status.
We encourage all home health agencies to carefully review the Transmittal 192 and educate their all of their clinical staff to ensure compliance. Remember the change effective date takes place on September 2, 2014.
We will also be holding a webinar titled
"Final Hospice Payment Rules and Rates for FY 2015"
on Wednesday August 27, 2014
from 3:00 pm to 4:00 pm Eastern Daylight Savings Time (EDT).
For more information please see below:
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Final Hospice Payment Rules and Rates for FY 2015
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We have a Special Live and On Demand Webinar onWednesday August 27, 2014 from
3:00 - 4:00 PM EDT
2:00 - 3:00 PM CDT
1:00 - 2:00 PM MDT
12:00 - 1:00 PM PDT & MST
11: AM - 12:00 PM AKST
9:00 - 10:00 AM HAST
This 60 Minute Webinar covered the following items.
1. The New Hospice Payment Rates for FY 2015
2. Trends in Medicare Hospice Utilization
3. Hospice Payment Reform Analysis
4. Definitions of "Terminal Illness" and "Related Conditions"
5. New Timeframes for Hospice Cap Determinations & Overpayment Remittances
6. Notice of Election and Notice of Termination/Revocation Time Limits
7. Adding the Attending Physician to the Hospice Election Form
8. Proposed Update to the Hospice Quality Reporting Program
This Webinar can be viewed at a later time because it was recorded. Your registration fee is only $199 for your entire company. The registration fee also will include handouts that you will receive via email when you register.
To attend the exciting new Webinar please download the Registration Form and fax it back to us at (888) 445-3965 We do accept all major credit cards.
You can register by phone by calling (321) 473-8561 and asking to speak with Margaret.
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