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New Codes and Fireworks!

OASIS Answers - Tuesday, July 26, 2016


 
It’s that time of year again – time to celebrate our independence as a nation while we recognize our dependence on accurate coding information. Consider this “Sparklers with Sparkle” time. Get comfy and let me fill you in on the latest coding excitement.

Each year right around this time the Cooperating Parties in charge of these coding systems announce the revisions, additions & deletions to the diagnostic codeset. This year’s changes to the ICD-10-CM codeset can be seen at the CDC’s website at: http://www.cdc.gov/nchs/icd/icd10cm.htm. While the preliminary list of changes was posted earlier this year, the final list was just recently posted at both the CDC’s & CMS’ websites.

Since we’ve been in a partial “code freeze” for the last several years awaiting the implementation of ICD-10, there are massive changes “stored up” this year. Not only have there been just a few absolutely essential changes for the past several years, but switching to a new system created some unforeseen obstacles & incongruities that had to be resolved as we put the new codeset into widespread use.

Read the Full Blog Post Here

New Hospice Report – Available July 17th

OASIS Answers - Thursday, July 14, 2016




On July 17, 2016, the Centers for Medicare & Medicaid Services (CMS) will provide hospices with the new Hospice Timeliness Compliance Threshold Report. This report will be available in the Hospice Provider report category in the CASPER Reporting application.

Hospice Timeliness Compliance Threshold Report displays provider level data regarding Hospice Item Set (HIS) records submitted successfully to CMS. The following information is included in the report:

  • Provider identification information
  • Provider CCN and FAC ID
  • # of HIS Records Submitted
  • # of HIS Records Submitted on Time
  • % of HIS Records Submitted on Time

HIS COMPLIANCE REQUIREMENTS & TIMELINE

Hospices are required to submit all HIS records (HIS-Admission and HIS-Discharge records) by the submission deadline. The submission deadline for HIS records is 30 days from the event date (the patient’s admission to or discharge from the hospice).

The timeliness compliance threshold for HIS submissions policies impacts the FY 2018 reporting year, which begins January 1, 2016.  The FY 2016 Hospice Final Rule states that beginning with the FY 2018 reporting year, in order to avoid the 2-percentage point reduction in their Annual Payment Update (APU), hospices will be required to submit a minimum percentage of their HIS records by the 30-day submission deadline. CMS will implement this compliance threshold over a 3-year period:




Questions related to the Hospice Timeliness Compliance Threshold Report or threshold requirements can be submitted to the Hospice Quality Help Desk: HospiceQualityQuestions@cms.hhs.gov



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Home Health Proposed Rule 2017 – Open for Public Comment!

OASIS Answers - Tuesday, July 05, 2016




The Centers for Medicare & Medicaid Services (CMS) Home Health Proposed Rule for calendar year (CY) 2017 has been posted in the Federal Register at https://www.gpo.gov/fdsys/pkg/FR-2016-07-05/pdf/2016-15448.pdf .

This proposed rule outlines the CMS planned changes to home health payment and quality initiatives including Home Health Value-Based Purchasing (HHVBP) and updates to the home health quality measures. CMS is now accepting public comments on these proposed changes through 5pm on August 26, 2016.

Submit comments electronically - to https://www.regulations.gov/document?D=CMS-2016-0111-0002 and follow the instructions under the ‘‘More Search Options’’ tab. We encourage all home health agencies and stakeholders to read this rule and provide CMS with your feedback on areas where you have questions or concerns.




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