A Netsmart Blog

Success in Long-term Care Through Care Coordination

Think about a time you’ve had to make a big decision. You took the facts you were aware of and you made your decision based off of the information you knew. What if a major piece of information wasn’t presented as an option or you were not given all of the details to consider the best choice? If you had access to all of the information before making the decision, you may have made a different choice. That’s not the…

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Tarrant County, TX: Measuring Up with Value-based Care

With every visit, healthcare providers collect and record vast amounts of data about their patients. When you have tremendous volumes of it, having the ability to efficiently pull and analyze the data can be quite an undertaking. Especially when it comes to proving outcomes and meeting detailed requirements set forth by government policies and programs that may require in depth analysis. And, if your organization uses multiple technology solutions to manage patient records, it makes it even more challenging. Netsmart’s…

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Improving Mental and Emotional Wellness

World Mental Health Day is observed each year on Oct. 10, with the overall intention of raising awareness of mental health issues, reducing stigma and rallying support of better mental health across the globe. It is important, however, to take care of your mental health every day of the year. Taking steps to be mindful of your mental health can be easier than you think. Check out these tips that you can try today to help you maximize opportunities for…

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Home Health Groupings Model: The Future of Home Health

In our previous installments of this CareThreads blog series, we examined the Home Health Groupings Model and the reaction it’s currently getting from the home health industry. Today, we’ll get a glimpse of what it means for home health going forward. The rule modifies the way home health agencies would be reimbursed for care, categorizing patients into six groups based on diagnosis. It also proposes moving from the current 60-day episode of care to 30-days, which is expected to create…

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Home Health Groupings Model: Industry Reaction

In the first blog of our series, we’ve discussed, at a high-level, upcoming payment changes for CY 2018 and beyond. The biggest, most talked about change is the Home Health Groupings Model, or HHGM. In a nutshell, the model proposed by Centers for Medicare and Medicaid Services (CMS) would end the impact to reimbursement based on the number of therapy visits. Reimbursement would then be based on newly modified mix of patient and case characteristics, such as episode timing, admission…

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How to Survive Audits by Documenting Medical Necessity in Home Healthcare Part III

So now that you’ve brushed up on best practice how-tos and tips to maximize the information in your documentation, you might be thinking that your organization will be immune to ADR requests. Fact is, it’s not a matter of if it happens, more like when. All organizations receive ADR requests at some point or another. Part I and II of our series provide a good foundation to help prevent major headaches for when it does. Responding to ADR Even if…

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Home Health Groupings Model: What is it?

If you’ve been keeping up with the latest in the home health industry this year, you’ve most definitely heard the term Home Health Groupings Model (HHGM) floating around at one point or another. Since the introduction of the home health prospective payment reimbursement model, the HHGM is a significant and controversial proposal, shaking up the home health industry. So what does this new payment model proposal mean for you, your organization and the industry? In this three-part blog series, we’ll…

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How to Survive Audits by Documenting Medical Necessity in Home Healthcare Part II

In part I of our series, we’ve explored common reasons for denial in various claim environments. We also established that an important way to avoid denials is to implement solid processes of quality assessment (QA) measures as well as best practices for both administration and staff to ensure complete, thorough and timely claim submission. In order to better understand how it all fits together, let’s dive in and get a better understanding of those reviewing our records as well as…

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How to Survive Audits by Documenting Medical Necessity in Home Healthcare Part I

Additional documentation requests (ADR) are the norm today – everyone in home health gets them. Perhaps the best defense of documentation requests from payers (specifically Medicare) might be a stout offense that boasts an aggressive strategy of documenting every procedure at the point of care and providing specific details of the patient health plan. But even when taking an aggressive approach to defending services provided — with detailed documentation — of the patient experience, there still may be some instances…

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Supporting Teachers in the Classroom

Across the nation, teachers and school administrators are preparing for the new school year. They’re readying their classrooms, libraries and hallways to welcome this year’s students. Meanwhile, students and their families are also preparing to go back to school. They’re going shopping for school supplies and picking out the outfit for the first day back. A new school year can bring forth feelings of excitement, but for some students it also can heighten their anxiety and bring forth behavioral challenges.…

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