PDGM Readiness. The Journey Begins

CMS has issued the Final FY 2019 Home Health Payment Rule, and our industry’s journey to the new Patient-Driven Groupings Model (PDGM) has officially begun.

Two significant changes in PDGM from the proposed rule are:

  • The implementation date is set for “on or after” as opposed to “on” January 1, 2020.
  • CMS has increased the number of primary diagnosis clinical groupings to 12 (from six) by splitting Medication Management Teaching and Assessment (MMTA) into subgroups. This change has doubled the number of HHRGs to 432.

Presenter Gina Mazza discusses PDGM, key changes from the proposed rule and insights on what leaders should do next.
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FY2019 Hospice Final Rule: Understanding the Rule and the Reasons Behind it

Presenter Catherine Dehlin explains the key components of the rule along with the data and reasons behind CMS’ thinking.

Get the details and data on:

  • Hospice Wage Index Updates
  • Payment Rates
  • Cap Amounts
  • Physician Assistants
  • Hospice Quality Reporting Program
  • Non-Hospice Covered Services
  • Portfolio Findings

Hospice providers are facing significant regulatory changes. Leaders need to understand the changes and the reasons behind them in order to successfully steer their organizations.

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PDGM Complimentary Webinar Recording

CMS has issued the proposed rule on the Patient-Driven Groupings Model (PDGM) formerly known as the Home Health Groupings Model (HHGM), required by the Bipartisan Budget Act of 2018.

Learn about this critically important overhaul of the home health prospective payment system and what you need to know to prepare your agency for the future. Using Fazzi’s Strategic Management Model, this webinar discusses 1) What We Know, 2) What it Means and 3) What You Should Do About it.

Presented by Gina Mazza BSN, RN, CPHQ and Cindy Campbell RN,BSN.

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Webinar Recording: 2019 Hospice Rule

FY2019 Hospice Rule: Understanding the Rule and the Reasons Behind it

In case you missed our webinar, here is the recording from our Executive Update on the FY2019 Hospice Payment and Quality Reporting Rule.

  • Hospice Wage Index Updates
  • Payment Rates
  • Cap Amounts
  • Physician Assistants
  • Hospice Quality Reporting Program
  • Non-Hospice Covered Services
  • Part D Meds
  • OIG Work Plan

This webinar will also help inform providers who are planning to submit comments on the proposed rule. The comment deadline is June 26.

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OASIS D: What the Future Holds

CMS recently posted the new OASIS D instrument and a supporting statement. Changes to the assessment are extensive and will be effective January 1, 2019. Agencies need to begin thinking about their transition plan now in order to ensure success in the new year. View the webinar to learn more.

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Webinar Recording: Learn About the New Case Management Credentials

case management credentials

Case management certification is not new to health care. The Commission for Case Manager Certification (CCMC) has certified nearly 60,000 case managers since 1992. BUT data from their 2014 Role & Function study of over 8,000 certified case managers shows that home health and hospice is not included:

  • 28.8% health insurance
  • 22.8% hospitals
  • 11.6% workers comp
  • 7.3% independent case management

The CHHCM and CHCM are the only Case Management credentials specifically and entirely designed for Home Health and Hospice. Learn all about the preparation course and the credentials, including the extra, value added benefits provided to those who achieve these credentials.

In this webinar session you will learn:

  • Why are these credentials important?
  • Why do the new CoPs and expanding Hospice Item Set make them even more important?
  • What’s in the preparation course?
  • What does the exam cover?

View the Informational Webinar Recording

Home Health and Hospice CAHPS Best Practices Webinar Recording:

Home Health and Hospice CAHPS are key measures of an agency’s success, yet national results have remained unchanged for many years.  Wondering how to stand apart from your competitors on Home Health Compare and the soon to be released Hospice Compare to really improve your results?

Gina Mazza, Fazzi’s CAHPS Division leader and a panel of agency leaders discusses real examples and strategies that have worked for them giving practical and concrete actions that will help you become a best practice agency.

Another important ingredient for improving your scores is improving your return rate. Fazzi’s CAHPS return rate with our Mixed Mode (mail with phone interview) CAHPS service is 40% which is higher than the national average. If you’d like information about Fazzi’s Mixed Mode Home Health and Hospice CAHPS services, please contact us. Continue reading “Home Health and Hospice CAHPS Best Practices Webinar Recording:”

Get the Latest Facts about Pre-Claim Review and CoP Effective Date

CMS paused Pre-Claim Review in Illinois, postponed indefinitely its start in Florida and the other states and issued a proposed rule that will change the new CoP rule effective date to January 13, 2018. The industry is abuzz with questions and Fazzi has the answers.

You will…

  1. Get the latest facts on Pre-Claim Review and the new CoP rule effective date, and
  2. Learn what you should be doing now, regardless of these changes.

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New CoPs Finalized

The Medicare and Medicaid Conditions of Participation (CoP) for Home Health have just been revised for the first time in any significant way in almost twenty years! And- they are effective on July 13, 2017.

The new CoPs include notable changes to standards related to care planning, patient rights, quality assessment and performance improvement (QAPI) and infection control.

Join Gina Mazza, Fazzi’s industry expert in Regulatory and Compliance activities for a focused overview of the key changes you should know as well as our recommendations and additional resources.

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PHI and Cyber Security in Outsourced Services

As the trend toward outsourced coding continues to spiral upward, an important consideration is the need to keep Personal Health Information (PHI) secure and to mitigate broad cyber security risks. Join Melanie Duerr, Partner, and Jami Albro-Fisher, Chief Information Officer, as they explain cyber security issues and risks and how to mitigate them in the coding process.

According to the Sixth Annual Benchmark Study on Privacy & Security of Healthcare Data, conducted by the Ponemon Institute in 2016, nearly 90% of healthcare organizations have suffered a data breach in the past two years and “criminal attacks from the outside and negligence from the inside continue to put patient data in the crossfire.”

Learn the issues and the risks and how to mitigate them in your agency, in particular as you consider the benefits of outsourced coding.

Using Fazzi’s Strategic Management Model for decision making, Mel and Jami will review 1) What’s the problem? 2) What does it mean for agencies? 3) What should you do about it?

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