Kinnser Blog

Accurate Data Collection is Your Agency’s Best Friend

   by Mindy Pillow
Do you ever find yourself discussing the quality of care your agency provides for its patients? How much more effective would your statements be with data to back them up? In order to communicate with our physician and hospital clients, we must collect the data necessary to demonstrate results. Your… Read more ›

Filed Under: Administration

What You Should Know About M0090 and January 1

   by Kristi Wheeler
New Year's Day is a time for reflection and aspiration. It's also the date that CMS changes their requirements from OASIS-B to OASIS-C. The last thing you want to be doing on New Year's Day is transferring assessment information from OASIS-B1 to OASIS-C. How can you avoid this? Understand how… Read more ›

Filed Under: Clinical

The Secret to Training Your Staff on OASIS-C Remotely

   by Mindy Pillow
The heat is on! As home health agencies race to meet the January deadline for OASIS-C; is your staff ready? Agency success depends upon how well you implement the new assessment within your agency and ensuring that your staff is fully trained on OASIS-C item guidance. Thoughtful integration of these… Read more ›

Filed Under: Administration

How to Manage Diabetic Patients with a 10% Cap on Outlier Payments

   by Kristi Wheeler
The Centers for Medicare & Medicaid Services (CMS) recently announced a 10 percent per-home health agency (HHA) outlier cap on agency outlier payments to address excessive, suspicious outlier payments that are occurring in a few discrete areas of the country. Targeting an overall percentage of outlier payments at approximately 2.5… Read more ›

Filed Under: Administration

OIG Announces FY 2010 Work Plan

   by Mindy Pillow
Home health is under scrutiny and subject to substantial enforcement actions related to fraud and abuse. The Department of Health and Human Services' Office of the Inspector General (OIG) has implemented a work plan for CY 2010 that focuses heavily on areas of identified and suspected fraud and abuse in… Read more ›

Filed Under: Administration

How to Prevent RAC Audits

   by Kristi Wheeler
Beginning in 2010, Medicare will be authorizing government-contracted Recovery Audit Contractors (RACs) to collect on perceived overpayments to health care providers with payment dates reaching as far back as October 1, 2007. The RACs are an extension of Medicare's attempt to prevent payment fraud and abuse and to reduce Medicare's… Read more ›

Filed Under: Billing

HHS Recalculates Improper Medicare Payment Rates

   by Mindy Pillow
The Department of Health and Human Services (HHS) and The Centers for Medicare & Medicaid Services (CMS) are recalculating Medicare fee-for-service (FFS) error rates in 2009 to provide CMS with more comprehensive information about errors when targeting improper agency payments. These changes are an extension of CMS efforts to reduce… Read more ›

Filed Under: Billing

2009-2010 Fall/Winter Influenza Season

   by Kristi Wheeler
The flu season is in full swing this year with the H1N1 virus escalating influenza activity higher than the peaks of many regular flu seasons. CMS is reminding health care providers to encourage your Medicare patients to receive seasonal flu shots as well as the H1N1 vaccine as it becomes… Read more ›

Filed Under: Clinical

HHCAHPS Update

   by Mindy Pillow
The Centers for Medicare and Medicaid Services (CMS) recently recognized the impact of OASIS-C implementation on home health agencies by allowing additional time for agencies to implement OASIS-C before the required implementation of the Home Health Care CAHPS (HHCAHPS) survey for payment considerations. The linkage of HHCAHPS data to quality… Read more ›

Filed Under: Administration