Agency Compliance

Home health is a dynamic industry that requires constant review of regulations changes.  In 2018 the industry experienced a major update to the Conditions of Participation including revisions to the plan of care and comprehensive assessments. So far 2019 has brought a fairly high level of arguably drastic changes. In this article we will highlight some of those changes,  and where relevant point out any direct impact to your Home Health Software or your agency’s operations as whole.

SPOTLIGHT ON OHIO & THE ODM EVV MANDATE

 

Electronic Visit Verification, also known as EVV, is quickly becoming a federally-mandated requirement which all state Medicaid programs must implement in order to verify that home health, homecare and/or personal care services are delivered to their intended patients. Electronic visit verification is mandated under the 21st Century Cures Act, which was effectively signed into law in 2016 with the intent of decreasing the rampant levels of reported fraud within Medicaid claims filings.

The new EVV mandates require that each state must have a state-wide and properly approved Electronic Visit Verification system fully operational by an implementation deadline of January 1st 2019 for all Medicaid-funded home health agencies providing services, and by the first of January, 2021, for all Medicaid-funded personal care services.

What Agencies Should Know About the OASIS-D Changes Effective January 1st 2019

 

Alora is committed to keeping home health professionals informed about regulatory changes that affect your businesses, patients, and staff. With December right around the corner, many are preparing for the January first, 2019 implementation date for OASIS-D.

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Hospitals and Homecare Agencies...

Homecare agency owners small and large have recently had good reason for optimism over a provision in the health care reform bill related to the home care industry’s opportunity with hospitals. Thanks to a provision in health care reform legislation that penalizes hospitals that fail to reduce their hospitalization rates for three specific diagnoses, Homecare agencies have the opportunity to be more than just a provider. They can actually come to the rescue of hospitals and develop mutually advantageous relationships that keep the hospital in compliance, and increase business for the Home care agency.

News on CMS New Medicare Cards

 

The Centers for Medicare & Medicaid Services (CMS) has announced that they have completed the mailing of new Medicare cards for Waves 1, 2 and 3.  This includes:  Delaware, District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia, Alaska, American Samoa, California, Guam, Hawaii, Northern Mariana Islands, Oregon, Arkansas, Illinois, Indiana, Iowa, Kansas, Minnesota, Nebraska, North Dakota, Oklahoma, South Dakota, and Wisconsin.  Read more:

OASIS C1 Information for Agencies

OASIS-C1 PREPAREDNESS 

As part of our commitment to keeping our blog readers informed on important developments in the Homecare industry, we would like to spend some time addressing Alora Home Health Software's OASIS-C1 preparedness as well as the upcoming changes to the CMS OASIS Data submission. This information pertains to all Medicare Certified agencies. The following information will help all Medicare Certified agencies prepare for the upcoming conversion to OASIS-C1:

CMS Offers Delay of EVV Implementation for up to One Year

 

Following a lengthy period of uncertainty amidst numerous requests for clarifications and official rules, CMS (The Centers for Medicare & Medicaid Services) has finally issued regulatory guidance on a provision which will allow states to postpone implementation of mandated EVV (Electronic Visit Verification) for a period of up to one year.