Post-acute Care

Out With the Old: Comprehensive Nursing Systems’ Transition

Comprehensive Nursing Services is unique in many ways, which makes its journey from paper to electronic an interesting one. While on paper, clinicians would scratch out notes and struggled to keep track of paper documentation, which meant health information often was not updated in a timely manner, and the potential for alteration of medical records was possible. While the agency was still providing excellent care, coordination was a challenge because it relied solely on paper. However, all of this will…

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Clinician Satisfaction for Overall Success

It’s no secret that healthcare is, by its own nature, stressful. There’s a lot of responsibility when some decisions literally can result in a life or death situation. It’s not for everyone, but those who choose healthcare as their career path want to ultimately help others. What unites clinicians and other healthcare professionals is their desire to help others live their best lives possible. That’s why it’s so important for organizations to recruit and retain the best talent available. But,…

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Leveraging Technology to Improve Clinician Satisfaction

The more clinicians engage with technology, the greater the benefit is for everyone involved, especially the clinicians themselves. When we capture more clinical documentation in a structured way, we can better examine, alert and respond to the data.  We now use more electronic health record (EHR)-connected devices on the floor than ever. However, technology can occasionally be an obstacle for clinicians. Sometimes it’s clunky or confusing, and it can seem like it’s getting in the way of patient care. In…

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Patient-Driven Payment Model (PDPM): A primer for skilled nursing success

As part of its 2019 Proposed Rule for Skilled Nursing Facility (SNF) Prospective Payment System (PPS), Centers for Medicare and Medicaid Services (CMS) published the Patient-Driven Payment Model (PDPM) which is scheduled to go into effect Oct. 1, 2019. As time ticks down to implementation, providers should become as familiar with the changes as possible to prepare for the upcoming overhaul of the current payment model. What is Patient-Driven Payment Model, or PDPM? PDPM is the latest Medicare proposed payment rule…

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Patient-Driven Groupings Model (PDGM): What Home Health Agencies Should Know

Home health agencies have a lot to look forward to when it comes to upcoming regulatory requirements for reimbursements as proposed by the Centers for Medicare and Medicaid Services (CMS). Let’s dive in to learn more about what they can do now to prepare for new payment changes in 2020. What is Patient-Driven Groupings Model, or PDGM? PDGM has roots from the previously proposed Home Health Groupings Model, or HHGM, which CMS has described as focusing on the value versus…

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PDGM Proposal Merits Close Scrutiny

The Patient Driven Groupings Model (PDGM) recently released by CMS is a good news/bad news scenario for home health organizations. We’ve examined the proposal closely and submitted comments to the Centers for Medicare & Medicaid Services on behalf of our home health and hospice clients. The good news is that the proposal is budget-neutral. Under the previous Home Health Groupings Model (HHGM), which was withdrawn last year following the public comment period, organizations faced an estimated 15 percent cut in…

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Home Health Spending to Outpace Overall Growth

New spending projections bode well for the home health industry, a segment expected to see among the highest forecasted growth on a percentage basis. Each year, the actuarial office at the Centers for Medicare & Medicaid Services (CMS) creates a forecast for overall health spending, taking into account current law. Overall, the office predicts healthcare spending will grow at a 5.5 percent annual rate, reaching $5.7 trillion by 2026. That equates to a 71 percent increase over the next decade.…

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Electronic Visit Verification (EVV) Requirements on the Horizon

A lesser-known component of the 21st Century Cures Act is the electronic visit verification (EVV) requirement that goes into effect January 1, 2020, for personal care services (PCS), and January 1, 2023, for home health care services (HHCS). So, what is EVV and how can your organization prepare to comply with this requirement? One of the greatest impacts will be to PCS providers who offer opportunities to Medicaid beneficiaries to receive services such as activities of daily living (ADL) in…

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Revisiting a 2018 Highlight: Annual Cap Lifted for Therapy Services

The Bipartisan Budget Act of 2018, passed by Congress earlier this year, included a provision lifting the annual cap for physical, occupational and speech therapy services. The provision ends a 20-year back-and-forth between attempts to set a financial cap and efforts to prevent that from happening. It also cements an earlier settlement between patients (Jimmo) and the Centers for Medicare & Medicaid Services (CMS) that allows for continued therapy services for maintenance of mobility or activities of daily living, instead…

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Flourishing in Post-Acute Care With a Single Unified System

Regulatory pressures, complex reimbursements and staff shortages in healthcare are not going away. Post-acute care providers need to be nimble and agile enough to easily prove outcomes, measure results and integrate clinical and financial information to succeed in the modern landscape. Having one unified system to manage it all should be on your “must-do” list. Here’s why: It helps create more efficient care transitions. Transitioning care settings should be smooth and efficient for everyone involved. The right platform consolidates patient…

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