Agency Compliance

Illinois Review Choice Demonstration to Begin on June 1

The Center for Medicare Services (CMS) recently released information about the next steps for its Review Choice Demonstration (RCD). Illinois will be the first state to participate with the newest version of this demonstration, beginning  June 1, 2019. The Five (5) state claims review demonstration also includes Ohio, North Carolina, Florida, and Texas.

New EVV Survey Raises Concerns Among Homecare Providers & Industry Officials

As the movement towards mandatory EVV on the federal level continues to march forward, officials at CMS have been steadily preparing for the possible rollout of a national electronic visit verification (EVV) survey. This survey would be a non-optional requirement for agencies providing many types of care, and is intended to strengthen agency accountability, patient care, and reduce the rampant fraud that recent reports have suggested is still on the rise in numerous states.

Alora & Sandata Announce Partnership to Offer Homecare Agencies Electronic Visit Verification (EVV)

 

EVV Mandates on the Rise Nationwide

 

EVV systemsSandata Technologies, one of the nation's leading providers of home care solutions designed to simplify the process of managing services for government agencies, Managed Care Organizations, and other home care providers, issued a national press release showcasing the recent team up with Alora to address the need for effective electronic visit verification solutions. While Alora Home Health Software has specialized in simple to use solutions for the home care industry since 2005, their development over the last few years of powerful tools for homecare agencies to verifiy visits including integrated EVV,

Telephony, & AideConnect, places the company at the forefront of providers who focus on compliance paired with homecare technology.

As stated in the press release, their integration with Alora allows agencies using the Alora Home Health Software to maximize the benefits of Sandata's state-sponsored EVV solution, while ensuring compliance with the 21st Century Cures Act EVV mandate. 

Read the full press release below.

What to Watch In 2019

As 2019 begins to get into the books, many home health industry insiders and experts are preparing for what’s ahead while learning some lessons from the previous year. By most if not all measures, 2018 was a monumental year of change, growth, and adaptation, particularly within the Medicare-certified home health spectrum.

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.