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Office of Inspector General
Division of Health Care
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Issue: #04-SE-2018
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August 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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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-August 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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KY Hepatitis Connection Newsletter
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KEPRO Patient Navigation Program
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For Medicare beneficiaries, understanding their doctor and making their way through difficult medical systems and treatments can be very overwhelming. KEPRO's free Patient Navigation program can help people with Medicare be a partner in and take control of their own health. KEPRO's Patient Navigators can work 1-on-1 with Medicare beneficiaries to:
- Help coordinate care
- Offer tips on how to manage medications
- Help better understand a diagnosis or treatment plan
- Provide resources and information to help patients understand, treat, and prevent diseases
- Help improve quality of life
The following is an example of how the Patient Navigation program works. In this example, a Medicare beneficiary was discharged from a rehabilitation facility under the care of his wife after a brain bleed. His wife requested that he join the Patient Navigation program after his appeal was denied. He was able to walk with a front-wheeled walker, although he was independent before his hospitalization. His discharge plan was for home health, and he had no medical equipment at home. He had an upcoming visit with his primary care physician, and his wife was unsure how she would transport him.
KEPRO's Patient Navigator was able to assist the wife with setting up transportation for the doctor's appointment. The Patient Navigator also followed up with the home health agency, as the wife needed additional medical equipment, such as a shower chair. The Patient Navigator followed and assisted this beneficiary for 32 days to make sure there were no further needs and that he was progressing well with the home health agency.
KEPRO's Patient Navigation program is available for Fee-for-Service (FFS) Medicare beneficiaries. This program is part of their benefits from Medicare and is offered at no cost to them.
Please encourage your FFS Medicare beneficiaries to contact KEPRO for their healthcare navigation needs. For more information about KEPRO's Patient Navigation program, please visit
www.keproqio.com/pfe/PatientNavigation.aspx.
For assistance or more information, please contact Andrea Plaskett, Outreach Specialist, at
[email protected].
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Update Home Health Demographic Data
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Quality data on Home Health Compare is updated on a quarterly basis. The data displayed on Home Health Compare includes demographic information, such as address, telephone number, and ownership.
Click here to view the full details on the steps below for guidance on how to verify and update home health demographic data.
Step 1: Verify Demographic Data is Accurate
Step 2: If Demographic Data is Inaccurate, Contact Medicare Administrative Contractor
Please note - updates to home health provider demographic information do not happen in real time and can take up to 6-months to appear on Home Health Compare.
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Home Health Quality Reporting Training
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The Centers for Medicare & Medicaid Services (CMS) will be hosting two webinars to introduce Home Health providers to changes to the Outcome and Information Assessment Set (OASIS)-D related to the Home Health Quality Reporting Program (QRP) that are scheduled to become effective on January 1, 2019.
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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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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. |
OASIS Quarterly Q&A's
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The link to the July 2018 Quarterly Q&A's is located on the link below. OASIS Quarterly Q&As
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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 new 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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OIG Contacts
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For OASIS Coding or Assessment questions:
Contact Buffy Stone, Kentucky's OASIS Education Coordinator, by phone at 502-595-4958, extension 5019 or via
e-mail
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For OASIS Transmission or Technical questions:
Contact Rhonda Littleton-Roe at 502-564-7963, extension 3300 or via
e-mail.
For Home Health Agency Licensing or Regulation questions:
Contact Michelle Ryan at
at 502-564-7963, extension 3298 or via
e-mail
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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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