2017 Proposed Home Health PPS Rule:Pre-Payment Review and Other Regulatory Developments
Duration: 60 Minutes
Home Health Services are undergoing increased scrutiny from CMS, the OIG and other agencies. To ensure your organization's compliance, it is important to know what changes are being proposed and what their impacts are on your organization. This training will provide you with information regarding the proposed changes and what are the strategies that your organization can implement to ensure compliance.
Objectives of the Presentation
Why Should you Attend
- The Standardized 60 day episode payment rates and other rebased payments
- The Non-routine Medical Supplies (NRS) conversion factor- required by law
- Proposed changes in payment for Negative Pressure Wound Treatment
- Proposed Changes to Home Health Quality Reporting Program
- Development of public reporting of performance under the HHVBP Model - proposed changes
- Pre-Payment reviews; when should you see them what is required of the organization
The Proposed Rule addresses issues related to payment; this is the final year of a 4 yr phase in of payment changes. It also looks at Negative Wound Pressure Therapy and the devices needed for this. Pre-payment review has begun and will continue: what to expect from this and how to address the documentation needed. There are also proposed changes to the Home Health Quality Reporting system.
Who will Benefit
- The Proposed Rule is looking at modifications to payment - changes in rates for various areas
- Non-routine medical supplies are an area of concern as are durable medical equipment - under OIG scrutiny
- Wound treatments: medically necessary; changes to payment
- Home Health Quality Reporting - how it is changing and what that might mean
- Public reporting of performance: increased transparency is occurring
- Medical necessity: OIG concern for Home Health Services; is it documented and will it be shown in your pre-payment review
- Home Health Agencies
- Directors of Nursing
- Any individual who receives home health services
The HH PPS proposed rule is one of the several rules for calendar year 2017 that reflect a broader Administration-wide strategy to create a health care system that results in better care, smarter spending, and healthier people. Provisions in these rules are helping to move our health-care system to one that values quality over quantity and focuses on reforms such as achieving better health outcomes, preventing disease, helping patients return home, helping to manage and improve chronic diseases, and fostering a more-efficient and coordinated health care system.