The OIG's 2013 workplan states that they will review these areas between hospices and nursing facilities.
What are Marketing Practices and Finacial Relationships?
100
This standard has been in the top three of the ten most frequent survey deficiencies cited by CMS for the last 3 years.
What is Plan of Care?
100
This must be established and periodically reviewed by the HHA. This is the number one most cited deficiency among HHA's.
What is the written plan of care?
100
This workflow step ensures that all of start of documentation has been reviewed.
What is Review Evaluation Documentation
200
In 2013, the OIG will focus investigations on compliance with this encounter that must happen within 120 days of the start of care for home health beneficiaries.
What is Home Health Face to Face Requirement?
200
Supervision of hospice aids must occur _____ days.
What is 14?
200
This top cited defieciency is shared by both home health and hospice agencies and is a required part of the assessment.
What is review of all medications?
200
How many workflow reminders do you get to assist with F2F completion?
What is 2.
300
The OIG will review hospice medical records to address concerns that this level of care is being misused.
What is General Inpatient Care?
300
The hospice must develop a plan of care that is this, or they might recieve a deficiency for L-Tag L545
What is individulaized?
300
Documentation must show that these are only administered as ordered by the physician or your agency might recieve a deficieny.
What are drugs and treatments?
300
What workflow step does Home Health recieve to ensure all orders have been signed, visits have been verified and end of episode OASIS has been completed
What is Perform Claims Audit.
400
Home Health Agencies will be reviewed by the OIG to identify payments for episodes where this information was not submitted or did was not consistent with the billing codes on the claims.
What is OASIS data?
400
This is the number four most frequently cited deficiency in fiscal year 2011 - 2012 and is a required part of every patient's care in hospice
What is review of the drug profile?
400
These versions must match or your agency might recieve a 320 Warning transmission error?
What are the submitted HIPPS_Version and the calculated HIPPS_version?
400
This report helps monitors that agents are syncing, accepting and completing visits in a timely manner.
What is Agent Summary Report.
500
The OIG will determine the extent to which HHA's are complying with State requirements that require this check to be completed in respect to HHA applicants and employees.