Office of Inspector General  
Division of Health Care  
Issue: #04-SE-2018

                  August 2018


OIG Banner
Office of Inspector General Home Page
Want to Know the Top 10 Citations for Home Health Agencies?
Medicare Learning Network
logo
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. 
Home Health Compare
5stars  
CMS Policies and Memos
logo 
CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.

New Medicare Cards 
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.
KARES
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  
Home Health Quality Quick Links
Data Quick Links
Regulations Quick Links
 





HOME HEALTH AGENCY
NEWSLETTER
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.  
KY Hepatitis Connection Newsletter
The  July edition of the KY Hepatitis Connection Newsletter  was dedicated to Dr. Robert Brawley, who served as the Chief of Infectious Disease at the KY DPH for over 12 years. His expertise and guidance will be missed.

In addition to the newsletter, please see the attached  HCV Perinatal Poster Presentation  which was presented at CSTE in June 2018.
Kathy, Amanda, and Deb

KEPRO Patient Navigation Program
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].

Update Home Health Demographic Data
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.
Home Health Quality Reporting Training
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.

View the Home Health Quality Reporting Training website for registration details and links.
Home Health Quality Reporting Data Submission Deadlines
DATA!
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.
Draft OASIS D Manual Available

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
The link to the July 2018 Quarterly Q&A's is located on the link below.

OASIS Quarterly Q&As
Surveyor Training Website
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.
Reporting Complaints
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.
Which Enforcement Branch is Serving You?
  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  
OIG Contacts
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

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 .
Unbridled Spirit   
                                                                                                          

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 would like more information, visit our website at chfs.ky.gov/os/oig.
  
If you have an idea for a future article, e-mail Rhonda Littleton-Roe at [email protected].