Informational Webinar: Why is the BCHH-C Credential so Important and Valuable?

Find out the answer to this question and more in our free 30-minute webinar session.
Thursday, Jun 27, 2019 1:00 PM – 1:30 PM EDT

We recently announced our new offering of the 8-week online Board Certified Home Health Coder (BCHH-C) certification program and the reception has been fantastic. Many of you have already signed up for the program and others have sent us some great questions, including:

  • Why is the BCHH-C Coding credential so important and valuable?
  • How does the 8-week training program work?
  • Who qualifies to take the program?
  • How does this certification differ from other similar programs?
  • How will this course prepare me or PDGM?

Find out the answers to these question and more in a complimentary 30-minute webinar on June 27th from 1:00-1:30PM EDT.

Register Now

Why is the BCHH-C so Valuable?

  • Coders can obtain BCHH-C coding certification completely online with our online certification course and examination.
  • BCHH-C certificants receive free annual competency testing, frequent coding udpates webinars and “Ask The Expert” sessions.
  • The BCHH-C course and exam are unique in our industry to include not just ICD-10-CM concepts but also test and train in those areas of OASIS (25%) required to become an expert coder.  In fact, some employers require no additional OASIS certification when holding the BCHH-C credential.
  • Coders with other coding certifications may take the 75-question BCHH-C recertification exam.
  • Led by a team of coding experts, the quality of the course instruction and materials is outstanding.

Need to start from the beginning? Purchase Fazzi’s Total Coding Bundle

For coders not familiar with the ICD-10-CM code set we recommend purchasing our Total Coder Bundle. In addition to the certification program, you’ll receive access to our 20+ hour complete ICD-10 training program. This is a self-paced course that covers the conventions and general coding guidelines, a review of how to use the coding manual, and a chapter-by-chapter review of the ICD-10-CM code set.

For Coders already familiar with ICD-10: 8-week targeted certification course, BCHH-C exam, OASIS-D Field Guide. Early bird pricing $449 (Reg $549) ends July 3.

Purchase BCHH-C Certification Bundle

For Coders new to ICD-10: 20 hour ICD-10 complete program, 8-week targeted certification course, BCHH-C exam, OASIS-D Field Guide. Early bird pricing $749 (Reg $849) ends July 3.

Purchase the Total Coder Bundle

Hospice Compare Updated

CMS has posted the quarterly Hospice Compare refresh of quality data on May 23, 2019. All quality measures improved since the last quarterly posting or stayed the same. Pain Assessment showed the most improvement, from 87.8% to 89.2%, followed by Composite Process Measure.

Updates to the family caregivers’ survey results showed seven measures remained the same. However, ‘Willing to recommend this hospice’ decreased by 1%.

Quality measure results are from data collected July 1, 2017 – June 30, 2018, and Hospice CAHPS® survey results reported July 1, 2016 to June 30, 2018.

View State Level Hospice Compare Charts

Long Time Industry Leader Shares Insights about Interim Leadership

Our industry is experiencing a high number of senior level retirements and other types of vacancies, and it’s becoming harder to find qualified people to fill these positions. Therefore, we’re getting a lot of questions about Interim Leadership, and so we thought we’d share with you this Q+A with long time industry leader, Eileen Freitag, who directs Fazzi’s Interim Leadership program.

Q: What types of situations cause agencies to consider engaging an Interim Leader?
A: We’ve seen many different scenarios including short term leave of absences; maternity leaves; retirements and other vacancies when there is no internal candidate to fill the job; retirements and other vacancies when none of the internal candidates are the right fit; and situations when the agency is underperforming and a key manager leaves either voluntarily or involuntarily.

Q: What positions has Fazzi filled in the past?
A: We have placed Interim Leaders in these positions: CEO, COO, Clinical Director, Director of Patient Services, Director of Quality, Clinical Manager and Billing Manager.

Q: Can you share specific examples of how agencies have utilized Fazzi’s Interim Leaders? 
A: In one agency, the CEO left on short notice for medical reasons while in the midst of software selection and negotiation with a therapy vendor. Our Interim CEO steered both projects to successful conclusion, and additionally, the agency experienced increases in staff retention and productivity.

A: We’ve had many situations in which agencies’ performance was in decline at the time of the CEO’s departure. In these instances, our Interim Leaders have conducted assessments and developed turnaround plans to fix problems and stabilize the organization so that the new incoming Leader starts with a clean slate. In many of these instances the agency found it easier to find permanent candidates for a stable organization instead of needing to find someone with turnaround skills.

A: In other scenarios, agencies have engaged Fazzi’s Interim Leaders to mentor a new executive – especially if they’ve come from outside of home health or hospice.

Q: Who are Fazzi’s Interim Leaders?
A: Our Interim Leaders are people who have retired early, have had successful track records in home health and/or hospice and still love the field and want the opportunity to take shorter term assignments (up to one year). They love the adventure of coming into an agency, quickly assessing the needs, and developing and executing a plan for results. They understand that often times, staff have been through a lot of stress when they’ve lost a leader that they knew and respected. Our Interim Leaders are skilled at balancing the need for sensitivity to this as well as the need to make changes to improve the performance of the agency.

Q: What is the process of getting an Interim Leader placed? 
A: We start with an in depth discussion about the client’s needs; i.e. the duties of the position, specific challenges the agency is facing, the characteristics of the agency and specific qualities and/or skills the client wants this person to have. From there we will send a potential candidate for the client to review. Our goal is to find someone that has the skills needed with the least possible travel time and expense.

If you’d like to speak with Eileen further about Fazzi’s Interim Leadership program, please contact us.

More Than PDGM: Home Health’s Top Legal and Compliance Issues Now

Thursday, June 20  |  12:00pm-1:00pm CT
Register Now

Since Fazzi Associates is now a member of the WellSky team, we’re able to bring you even more important industry resources and insights. Today, we’re pleased to present this complimentary webinar to be hosted by WellSky on June 20.

Although most home health providers are intensely focused on PDGM, it is far from being the only regulatory and legal issue that is impacting compliance today. Issues ranging from the ongoing Brookdale litigation to the Department of Labor’s notice of proposed rulemaking that would make more than a million more American workers eligible for overtime will have huge impacts on the home health industry.

While you’ve got your eye on PDGM, don’t overlook the big picture of compliance risk!

Join renowned home health attorney Robert W. Markette of Hall, Render, Killian, Heath & Lyman, P.C. for an exclusive webinar that will prepare you and your team for key changes in compliance that you may have missed while busily preparing for PDGM.

Attend and learn:

  • The risks of sudden practices shifts in 2020
  • What the Supreme Court decision to decline the Brookdale case means for home health
  • How the #metoo movement is leading to renewed focus on sexual harassment and what that means for employers
  • The Department of Labor’s salary notice of proposed rulemaking and what it means for professional exemptions

This is the guidance your agency needs right now. Don’t miss it!

Register Now

About the Presenter
Robert W. Markette, Jr., CHC, HCS-C of Hall, Render, Killian, Heath & Lyman, P.C.

Robert has focused his practice on representing home health, hospice, private duty and DME providers in all aspects of their operations. Robert has developed a reputation for understanding the operational, compliance and legal/regulatory issues facing homecare providers. He serves on both the Board of Medical Specialty Coding and Compliance and the Board of the Association for Home Care Compliance. Robert drafted the Second Edition of the Homecare Administrator’s Field Guide and the Home Health Patient Rights Policy and Procedure Manual. He has been awarded the HCS-C credential signifying his knowledge and experience in home care compliance and is also certified in health care compliance by the Health Care Compliance Board. Robert is widely recognized for his expertise in this space and is a frequent speaker on home health, hospice and private duty matters across the country.

Become a Board Certified Home Health Coder With Fazzi’s New Coding Certification Program

The 8-week online course begins July 8th – Register early to save!

PDGM is just around the corner. Now, more than ever, certifying your home health coding proficiency is critical to achieving PDGM success! Join the thousands of coders who have already become BCHH-C certified with our new 8-week online training program. Developed by industry leading coding experts, the BCHH-C online certification bundle includes:

  • A comprehensive, effective, engaging, convenient and affordable 8-week online highly targeted preparation course and practice exam to prepare participants for the coding certification exam. Our BCHH-C preparation course also includes a PDGM module to prepare coders for January 1st.
  • A 100-question proctored certification exam (or 75-question recertification exam) which can be taken online from the convenience of home or office.
  • Fazzi’s popular OASIS-D Field Guide to Data Collection with CMS Chapter 3 guidance, Q&As and Fazzi best practice guidance.

Note: Participants need a current ICD-10-CM Coding Manual to participate in the course.

Why is the BCHH-C so Valuable?

  • Coders can obtain BCHH-C coding certification completely online with our online certification course and examination.
  • BCHH-C certificants receive free annual competency testing, frequent coding udpates webinars and “Ask The Expert” sessions.
  • The BCHH-C course and exam are unique in our industry to include not just ICD-10-CM concepts but also test and train in those areas of OASIS (25%) required to become an expert coder.  In fact, some employers require no additional OASIS certification when holding the BCHH-C credential.
  • Coders with other coding certifications may take the 75-question BCHH-C recertification exam.
  • Led by a team of coding experts, the quality of the course instruction and materials is outstanding.

Need to start from the beginning? Purchase Fazzi’s Total Coding Bundle

For coders not familiar with the ICD-10-CM code set we recommend purchasing our Total Coder Bundle. In addition to the certification program, you’ll receive access to our 20+ hour complete ICD-10 training program. This is a self-paced course that covers the conventions and general coding guidelines, a review of how to use the coding manual, and a chapter-by-chapter review of the ICD-10-CM code set.

For Coders already familiar with ICD-10: 8-week targeted certification course, BCHH-C exam, OASIS-D Field Guide. Early bird pricing $449 (Reg $549) ends July 3.

Purchase BCHH-C Certification Bundle

For Coders new to ICD-10: 20 hour ICD-10 complete program, 8-week targeted certification course, BCHH-C exam, OASIS-D Field Guide. Early bird pricing $749 (Reg $849) ends July 3.

Purchase the Total Coder Bundle

Home Health Compare Quality Charts Updated

The Home Health Compare results were updated on May 17, 2019.

For the Quality of Patient Care measures, 11 measures improved, 1 worsened, and 2 remained the same. As with last quarter, improvement in bed transfer saw the most improvement of 1%. Improvement in management of oral medications improved by 0.9%. Multifactor fall risk assessment conducted saw no change and Depression assessment conducted worsened by 0.1%. (Data Collection July 1, 2017 – June 30, 2018).

Acute care hospitalizations and Urgent, unplanned care in the emergency room both stayed the same at 15.8% and 13.0%. (Data Collection January 1, 2017 – December 31, 2017).

The national average for the Quality of Patient Care Star Rating remained at 3.5 stars. The percentage of agencies with 2.5 and 3.5 stars declined, and the percent of agencies with 1,1.5 and 5 stars increased.

HHCAHPS measures also updated and the national averages remain the same for 4 measures. Patient willingness to recommend worsened by 1%. The data collection period for these measures and the Star Ratings is October 1, 2017 – September 30, 2018.

To see where the 5 star agencies are located, visit our Home Health Compare page and use the drop down for Star Ratings at the agency level. You can also compare measures by state, by year, by release date, and the top 10 or top 20 percent.

Proposed Hospice Rule Summarized

On Friday, April 19, the Federal Register posted the public inspection copy of the FY2020 Hospice Wage Index proposed rule. Comments on the proposal are due to CMS by June 18, 2019.

Fazzi is pleased to provide you with a comprehensive summary of the proposed rule prepared by Catherine Dehlin, Fazzi’s Director of Hospice Services.

Please complete the form to download your copy.

PDGM-Ready Coding Services

How Do Fazzi’s Outsourced Coding Services Help You with PDGM?

We’ve been getting a lot of questions about how our Outsourced Coding Services help agencies with PDGM so we decided to share this information with all of you. Here goes:

  • Alerts! We’ve instituted a questionable encounter alert system into our standard coding process. That means that when an agency’s documentation and coding guidance call for a primary diagnosis code that does not fit into a PDGM clinical grouping, we will alert the agency prior to RAP. That way the agency can do some intervention with the referral source/intake/clinician to see if the documentation or plan of care need to be adjusted.
  • Reports! We’re providing our clients with primary diagnosis trend reporting for insight and training purposes. (New clients can receive these reports as soon as volume thresholds are met.)
  • Accuracy! We have a long standing proven track record of accuracy. In fact, while CMS is projecting that approximately 15% of episodes will not fit into a clinical grouping, our data shows percentages for current clients to be 7%, on average. We attribute this to the skill of our coders in finding the accurate and specific diagnosis in our clients’ documentation and also the close communication between our coders and our clients when clarification is needed.
  • Advice! Our coding services include consultation, and we are encouraging agencies to:
    • Work with their referral source and clinical teams to make sure the more specific condition to the symptom code is included on the referral. One example is a patient with osteoarthritis in their legs who is presenting with a gait abnormality. Instead of coding the gait abnormality, the agency should consider coding the osteoarthritis as it is the source of the gait abnormality.
    • Work with clinical teams to make sure that when their treatment is directed at a symptom they are documenting the original source of that symptom.
  • Reduced or Eliminated Costs of Recruiting, Training and Managing Staff: Efficiency and cost control will become even more important under PDGM. (We’ll take care of your back office while you take care of your patients.)

Want to learn more about how Fazzi’s Outsourced Coding can help you with PDGM? Contact us today!

OASIS-D1: What You Need to Know

Just this week CMS announced that OASIS-D1 is available for review. The revised OASIS data set will take effect on January 1, 2020 and includes updates that will support the Patient-Driven Groupings Model (PDGM).

Highlights include:

Two existing items are added to the Follow-Up time point for data collection. This includes:

  • M1033 Risk for Hospitalization
  • M1800 Grooming

In addition, data collection at certain time points for 23 existing OASIS items is optional.

Click here to find a memorandum containing details about the changes to OASIS effective January 1, 2020.

Get access to our entire suite of OASIS online learning and testing programs with the Fazzi Learning Center. This includes OASIS-D1 updates as well as training on the key PDGM OASIS items.

Learn More About OASIS Education

PDGM Readiness: Fazzi’s Answers to Questionable Encounters

Fazzi’s Findings and Advice about Questionable Encounters: A Complimentary Position Paper

One of the biggest concerns for agency leaders around the Patient-Driven Groupings Model (PDGM) is the issue of submitting claims with primary diagnoses that do not fit into one of the 12 clinical groupings in the payment model.

Read our position paper on this topic to learn:

  • Fazzi’s findings about questionable encounters from our own database.
  • How Fazzi is helping our outsourced coding clients to minimize questionable encounters.
  • Important compliance considerations.

Continue reading “PDGM Readiness: Fazzi’s Answers to Questionable Encounters”