Eligibility
Medicare generally requires a patient to meet this status, meaning leaving home requires a considerable and taxing effort or assistance.
What is homebound?
This document outlines the home health services, disciplines, frequency, and duration ordered for the patient.
What is the 485 order?
What is a 2 - requires assistance?
This CMS website allows the public to compare Medicare-certified home health agencies using quality-of-care and patient-experience information.
What is Medicare Care Compare?
This area of HCHB you would go to undo a discharge.
What is episode management?
To qualify for the Medicare home health benefit, a patient generally needs one of these types of services, such as intermittent nursing or physical therapy.
What is skilled service?
The plan of care should be individualized based on this - not simply copied from a standard template.
What are the patient's specific needs and condition?
A patient that is able to safely take their oral medications with reminders would be scored this.
What is a 2?
HHVBP rewards agencies for reaching high performance or for making gains compared with their own past results. These are the two scores CMS uses when determining achievement for a measure.
What are the Achievement Score and Improvement Score?
This is the reason a clinician may not see an 02 visit on their tablet even though it is assigned out.
What is the recert/dc decision is not processed?
True or False: A Medicare patient can leave the home for frequent trips to the grocery store and still be considerable homebound.
What is False? Absences may be infrequent or of relatively short duration.
Changes in a patients condition or treatment needs may require this action to keep the plan of care current.
What is reviewing and updating/revising the plan of care?
When coding a GG activity, this code is used when the patient does not attempt the activity because of a medical condition or safety concern.
What is Code 88 – Not attempted due to medical condition or safety concerns?
HHAs that fail to meet Medicare’s HH QRP reporting requirements can see their annual payment update reduced by this percentage-point amount.
What are 2 percentage points?
A TIF is showing up on the OASIS console but not on workflow - you go here to fix it.
What is undo end stage?
A patient is homebound and needs help with bathing and dressing, but has no need for skilled nursing, PT, or SLP. Based on those facts alone, this Medicare eligibility requirement is missing.
What is a qualifying skilled need?
True or false: Only supplies provided by the agency need to be listed on the plan of care?
In OASIS functional assessment, these two item sets may appear to evaluate similar activities but should not be assumed to have interchangeable scoring rules.
What are the M1800 functional items and the GG functional items?
This HHVBP score combines an agency’s performance across the applicable measures and ultimately determines its payment adjustment.
What is the Total Performance Score (TPS)?
True or False: undoing a non-admit is perfectly fine.
False: undoing a non-admit messes with subsequent workflows and clinician POC/pathway charting. It is best to open a new chart and start over.
A Medicare patient hasn't seen a provider for a visit in a year but had a telephone visit with a provider who referred them to home health. This doesn't satisify what requirement?
Under Medicare home health requirements, the plan of care must be established and periodically reviewed by this type of qualified provider.
What is a PECOS certified physician or allowed practitioner?
Two people are required to safely transfer a patient from bed to chair. Even if the patient performs more than half of the physical effort, GG guidance directs the clinician to use this score.
What is 01 – Dependent?
These two CMS programs both use quality data involving home health agencies, but they are not the same thing—one establishes quality reporting requirements tied to the annual payment update, while the other provides consumers with a simplified public-facing quality rating.
What are the HH QRP and Home Health Quality of Patient Care Star Ratings?
The area where you can reset visits to pending, update episode status, and reset workflow stages.
What is the HCHB orb?