The Impact of Quality Reporting on Star Ratings

A tightly interwoven loop illustrates the impact of quality reporting on star ratings ... and the importance of the relationship between the two. Star ratings encourage providers to strive for higher levels of quality. They support consumers’ health care decision-making by providing easily recognizable differences in quality when selecting a health care provider. The higher the... Continue Reading →

CASPER Reports – Not as Friendly as the Ghost

... and CASPER Reports Could Be Coming Your Way. On July 9, 2018, CMS began loading into the hospice folders letters of non-compliance for agencies who failed to meet the Hospice Quality Reporting Program (HQRP) requirements. As I am sure you know, non-compliance affects your FY19 Annual Payment Update (APU). If you haven't already checked... Continue Reading →

A.D. Maxim Consulting Joins QIRT

Home health industry leaders QIRT and A.D. Maxim aim to provide more service and expertise to the industry. FLORAL PARK, N.Y. - June 2, 2016 - PRLog -- QIRT (Quality In Real Time), provider of home health and hospice coding, consulting, billing and education services, announced today that A.D. Maxim and its subsidiary, CQI Coding... Continue Reading →

It is official; AHIMA has clarified coding of Diabetes and assumed manifestations!

AHIMA has clarified coding of Diabetes and assumed manifestations, and QIRT will adjust coding practices accordingly. As of today, May 23, 2016, QIRT will code Diabetes and assumed manifestations per AHIMA clarification. The guidance is in relation to the use of the subterm “with” in the alpha index. The ICD-10-CM Official Guidelines for Coding and... Continue Reading →

CMS has Posted the FINAL Version of OASIS C1/ICD9 Guidance Manual

CMS has released the OFFICIAL final version of the guidance manual, effective January 2015 for OASIS C1/ICD9.  Changes in the version include a new Chapter 2, with the word "draft" removed from OASIS forms and the OMB number has been added to each time point version.  The footer throughout the entire manual has been changed... Continue Reading →

Proposed Conditions of Participation UPDATE!!!

CMS released the proposed rule on October 6, 2014 that would update the home health Conditions of Participation.  The Conditions of Participation have needed a major update since 1989 to help agencies focus on patient care and patient outcomes.  CMS states, "This proposed regulation focuses on assuring the protection and promotion of patient rights; enhances... Continue Reading →

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