Kinnser Blog

Legislation

CMS Delays Both Pre-Claim Review and New Conditions of Participation

   by Blair Stokes
Home health agencies across the nation — especially those in Florida and Illinois — can breathe a sigh of relief knowing that today CMS officially postponed both the effective date of the new Conditions of Participation (CoPs) and the rollout of Pre-Claim Review (PCR) in Florida, originally slated for April… Read more ›

Filed Under: Administration, Billing, Clinical, Coding, Legislation, News and Events, Therapy

CMS Issues New Conditions of Participation for Home Health

   by Blair Stokes
NEW WEBINAR: Get ready for the new CoPs with industry experts Sharon Harder and Jill Dyer. Click here to register. For the first time in nearly 20 years, the criteria for participating in Medicare and Medicaid home health are changing. The Centers for Medicare & Medicaid Services (CMS) published a… Read more ›

Filed Under: Administration, Legislation, News and Events

Top Home Health Care Resources to Jumpstart 2017

   by Blair Stokes
Navigating compliance changes in 2017 can be a challenge — even for the most efficient home health care agencies. At Kinnser, we know you have to contend with new regulations for OASIS-C2, Value-Based Purchasing, Pre-Claim Review, and more. We’re right there with you, delivering you the educational resources you need… Read more ›

Filed Under: Administration, Billing, Clinical, Coding, Legislation, News and Events

Pre-Claim Review for Home Health: 5 Lessons from Illinois

   by Sharon S. Harder
Pre-Claim Review has been underway in Illinois since August 2016, and it will soon take effect in Florida starting April 1, 2017. It's also still planned to roll-out in three other states (Texas, Massachusetts, and Michigan) on a yet-to-be-determined schedule. Agencies in Illinois have learned valuable lessons from the Pre-Claim Review project.… Read more ›

Filed Under: Administration, Billing, Clinical, Coding, Legislation

The 50th Anniversary of Medicare

   by Chip Schneider
This week marks the 50th anniversary of President Lyndon B. Johnson’s signing of the landmark legislation that established Medicare and Medicaid, almost certainly the most important social-insurance programs in US history. To commemorate this important event, Kinnser is pleased to share an except from Indomitable Will: LBJ in the Presidency,… Read more ›

Filed Under: Legislation, News and Events

Dispelling the Myths Surrounding ICD-10

   by Alex Moganti
As of today, ICD-10 is set to be implemented on October 1, 2015. This mandated industry-wide change will affect everyone from providers to payers to software vendors. Home Health Agencies will be particularly vulnerable in the wake of the transition, since their reimbursement is directly tied to the codes they… Read more ›

Filed Under: Administration, Coding, Legislation, Technology

How Technology Will Help Home Health Navigate The Year to Come

   by Chris Hester
From ever-more complex operational, regulatory and quality management requirements to the implementation of new and innovative care technologies, the home health industry is set for disruption in 2015. Paired with stringent new compliance requirements and more complicated government reimbursement processes, one can see that home care it set to be… Read more ›

Filed Under: Legislation, News and Events, Technology

Five easy steps that home agencies can take to thrive in 2015

   by Chris Hester
The great graying of America is officially underway. Nearly 300,000 of us are retiring every month, and will do so until at least 2033, according to the U.S. Census Bureau. That’s a big deal. For the first time in history, there will be more Americans over 60 than under the… Read more ›

Filed Under: Administration, Legislation, News and Events, Technology

Evaluation of Patient’s Ability to Self-Care Including Use of Private Duty Services – Part 5

   by Elizabeth Hogue
On May 17, 2013 the Centers for Medicare and Medicaid Services (CMS) issued revisions to the State Operations Manual (SOM), Hospital Appendix A – Interpretative Guidelines for 42 CFR 482.43, Discharge Planning.  This is the fifth in a series of articles about these interpretive guidelines. 42 CFR Section 482.43(b) Standard:… Read more ›

Filed Under: Administration, Clinical, Legislation, News and Events

Is Your Agency Ready For Hospice Item Set? Your Time Is Up!

   by Ginny Kenyon, RN, MN
Hospice Item Set (HIS) is part of the HQRP, which mandates that Medicare-certified hospices must submit quality data to CMS. As of July 1, 2014, all hospice care providers are required to have a HIS-Admission and HIS-Discharge record for each patient. Hospice Item Set is a necessary data collection tool… Read more ›

Filed Under: Administration, Clinical, Legislation, News and Events

AHIMA Issues Guidance on Use of Copy and Paste Functionality

   by Elizabeth Hogue
Electronic health records (EHRs) have been hailed as an enormous step forward in the provision of health care services because they enhance the accuracy, accessibility, efficiency and cost-effectiveness of documentation of services provided.  Use of EHRs, however, also raises a number of important issues that may compromise their usefulness.  The… Read more ›

Filed Under: Administration, Clinical, Legislation, News and Events, Technology

Medicare Policymakers Threaten the Viability of Home Care and Hospice

   by Rich Chesney
There are several Medicare policy efforts in the offing or currently underway that threaten the financial stability of home health and hospice providers. In recent months, for example, much attention has been focused on both the rebasing of home health and the elimination of “failure to thrive” diagnoses in hospice.… Read more ›

Filed Under: Administration, Legislation, News and Events

Identification of Patients in Need of Discharge Planning

   by Elizabeth Hogue
On May 17, 2013 the Centers for Medicare and Medicaid Services (CMS) issued revisions to the State Operations Manual (SOM), Hospital Appendix A – Interpretative Guidelines for 42 CFR 482.43, Discharge Planning.  This is the second in a series of articles about these interpretative guidelines. 42 CFR Section 482.43(a) Standard:… Read more ›

Filed Under: Clinical, Legislation, News and Events

Understanding the Interpretive Guidelines for Hospital Discharge Planning

   by Elizabeth Hogue
On May 17th 2013 the Centers for Medicare and Medicaid Services (CMS) issued revisions to the State Operations Manual (SOM), Hospital Appendix A – Interpretative Guidelines for 42 CFR 482.43, Discharge Planning.  This is the first in a series of articles about these interpretative guidelines. 42 CFR Section 482.43 provides… Read more ›

Filed Under: Administration, Clinical, Legislation, News and Events

Hospice Item Set – Deja Vu All Over Again?

   by Barbara Rosenblum
It’s official, CMS has put its final stamp of approval on the Hospice Item Set (HIS), and that means lots of progress can be made to prepare. Vendors can confidently begin incorporating the HIS data set in their software and hospices can begin to acquaint their staff with the measures… Read more ›

Filed Under: Administration, Legislation, News and Events