Four steps to take now for adjusting your therapy contracts before the PDPM transition

Here are four steps for therapy contract adjustment that you should take now to prepare for PDPM implementation on October 1, 2019.
The PDPM Transition: Step 1

Analyze your Part A fee‐for‐service utilization data

What is your RUG distribution?
What is your average length of stay by RUG?
What is your reimbursement per RUG category?
What is your average RUG rate and annual Part A fee‐for‐service revenue?

How much of your overall Medicare revenue is from Medicare Advantage?

What kinds of Medicare Advantage contracts do …

New CMP amounts adjusted for inflation and quarterly updates to NCCI PTP edits available

Source: The Bottom Line
New CMP amounts that have been adjusted for inflation and are effective October 11, 2018 were announced in a final rule published by CMS on January 22, 2019. The adjusted amounts apply to CMPs assessed on or after October 11, 2018. For SNFs, NFs and SNF/NFs, the CMP Analytic Tool instructions and calculations will be updated to reflect these changes. Appendix A of the final rule announcement contains the new rates, which …

CMS releases FAQs on interpretive guidelines for the revised home health CoPs

Source: Home Health Line
More than a year after the revised Home Health Conditions of Participation (CoPs) took effect and about four months after the release of related interpretive guidelines, CMS has provided agencies with additional clarifying guidance around the requirements.
On Jan. 23, CMS released 48 frequently asked questions (FAQs) about the interpretive guidelines along with official responses.
The new guidance includes clarifications around the difference between a patient’s legal representative and the patient-selected representative, the definition …

Hospice provider preview reports are now available

Source: Home Health Line.
Hospice CAHPS survey reports provider preview reports and hospice provider preview reports have been updated and are now available.
These two reports are available in hospices’ CASPER non-validation reports folders.
Providers have through Jan. 9, 2019, to review their Hospice Item Set (HIS) and CAHPS survey results.