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Office of Inspector General
Division of Health Care
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Issue: #05-SE-2018
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December 2018 |
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Want to Know the Top 10 Citations for Home Health Agencies?
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Medicare Learning Network
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Let the Medicare Learning Network (MLN) be your home for Centers for Medicare & Medicaid Services (CMS) education, information, and resources.
Visit the Medicare Learning Network for free educational materials for health care professionals on CMS programs, policies, and initiatives.
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Home Health Compare
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Click here
for guidance on how to verify and update home health demographic data.
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CMS Policies and Memos
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CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
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The Medicare card mailouts are scheduled to continue through April 2019.
Learn how CMS will mail the new Medicare cards in phases by geographic location.
View additional information on the CMS website or on the Medicare Learning Network Fact Sheet.
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KARES
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Enroll Now!
To enroll in KARES voluntarily, please click the icon below and follow the self-directed enrollment process.
For additional information about the program, please contact the help desk at (502) 564-2159 or via email.
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Home Health Quality Quick Links
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HOME HEALTH AGENCY
NEWSLETTER
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Welcome to the Division of Health Care's Special Edition-December issue of the Home Health Agency Newsletter. This newsletter is a valuable vehicle to keep you updated on current events affecting Home Health Agencies.
Please feel free to share this newsletter with anyone you think would benefit. They can continue to receive this newsletter by joining our mailing list using the link at the bottom. We look forward to serving you through this communication vehicle.
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Informal Appeal of Survey Findings
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Interested in Serving on an IDR Panel?
Kentucky requires one member of the IDR panel to be "a person currently engaged in the provision of Home Health Agency services who has no affiliation with the provider disputing a deficiency." Typically, a Home Health Agency Director is on each IDR panel. There is no payment or travel reimbursement for a Director serving on a panel. Directors will be rotated. If a Home Health Agency Director is interested in serving on a panel, a confidentiality statement must be signed prior to the participation in the first IDR panel.
Chrystal Daugherty, IDR/IIDR Coordinator
Office of Inspector General
116 Commerce Avenue
London, KY 40744
Fax: (606) 330-2054
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OIG Contacts
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For OASIS Coding or Assessment questions:
Contact Chrystal Daugherty, Kentucky's new OASIS Education Coordinator, by phone at 606-330-2030, extension 283 or via
email
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For OASIS Transmission or Technical questions:
Contact Rhonda Littleton-Roe at 502-564-7963, extension 3300 or via
email.
For Home Health Agency Licensing or Regulation questions:
Contact Michelle Ryan at
at 502-564-7963, extension 3298 or via
email
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jHAVEN v1.3.1
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jHAVEN v1.3.1 is the current version of jHAVEN software. It includes the following enhancements:
- v7218 of the Home Health PPS Grouper (effective 10/01/2018)
More information can be found on the
jHAVEN website.
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Home Health Agency Questions and Answers
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Home Health Agency (HHA) Providers can access the Home Health and OASIS Q&As and other reference manuals on the
HHA Providers Reference site.
These Questions and their responses have been developed over many years of experience training OASIS coordinators and are currently used as part of the Home Health Agency Surveyor Training program. They can and should be used by home health agency providers in training new staff on the basics of OASIS and also as a refresher for existing staff.
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Data Specifications
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OASIS Data Specifications V2.30.1
This FINAL version applies to the OASIS-D item set which is scheduled for implementation on January 1, 2019. Please note that, in addition to incorporating the issues identified previously in Errata Document V2.30.1, there were a few more revisions to the final specs.
The edits for the M1311 items were revised, since the dash [-] is now an allowed value. Edit -4211 was replaced by edit -5680. Several edits for GG items were revised, as the caret [^] is not an allowed value for some of the items. Edit -5510 was revised to include only a subset of the Discharge Goal items. Please review the Item Change and Edit Change Reports for entries beginning with "[V2.30.1]" for additional details.
Errata Document V2.30.1 for OASIS Data Specifications V2.30.0
An errata document for the OASIS Data Submission Specifications Version 2.30.0 has been posted in the Downloads section of the
Data Specification website. Three issues have been identified. As a result, one new edit, -5670, has been added to the M1028 items. Also, item M1860_CRNT_AMBLTN has been restored to RFAs 04 and 05, as it had been inadvertently removed from them. Furthermore, three edits were deleted from the M1021/M1023 items, as they referenced the M1025 items that have been deleted in OASIS-D.
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Draft OASIS D Manual Available
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The draft Guidance Manual for the OASIS-D version of the OASIS data set, effective January 1, 2019, has been posted to the Downloads section on the CMS OASIS User Manuals site.
This manual provides guidance for home health agencies (HHAs) on how to ensure the collection of high-quality (accurate) OASIS data. It includes both general data collection conventions and item-specific guidance, as well as links to resources for agencies. |
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Policy & Memos to States and Regions
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 Check the CMS Policy & Memos site for HHA-related memos, such as those detailed below.
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Home Health Quality Reporting Data Submission Deadlines
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Starting with the July 1, 2017 to June 30, 2018 annual performance update (APU) period, the Quality Assessment Only (QAO) performance requirement is increased to 90%. The table on the Data Submission Deadlines
website shows the QAO reporting schedule to home health agencies for 2018. More information on the QAO performance requirement is available on the
Home Health Quality Reporting
webpage. The QAO Interim and Annual Performance Reports will remain in the CASPER folders for 120 days.
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Surveyor Training Website
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Click to view training options
This CMS website provides training information to include the preceptor manual, the State Operations Manual and other documents.
As always, the survey and certification process is a collaborative effort between CMS and providers. This website will allow providers the opportunity to take the same courses as surveyors.
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Reporting Complaints
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Email addresses have been established for use by patients and the general public to report possible violations of regulatory requirements.
Each DHC Enforcement Branch has an assigned email address to receive this information. Review the map in the above article to determine the appropriate Enforcement Branch.
Click Here for email addresses and additional contact information.
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Which Enforcement Branch is Serving You?
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To provide the highest level of service, the Division of Health Care operates through four regional offices. Knowing the appropriate Enforcement Branch to contact with questions and concerns will ensure you receive maximum service in minimum time. Review links below for detailed information.
Contact Information
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The Office of Inspector General is Kentucky's regulatory agency for licensing all health care, day care, long-term care facilities, and child adoption/child-placing agencies in the Commonwealth.
If you have an idea for a future article, e-mail Rhonda Littleton-Roe at
[email protected].
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