Home Health
- Medicare Certified Home Health
- Privately paid home care
- Personal care providers
- Hospice
What Home Healthcare may encompass
Was implemented back in 2000 and is still used today
What is Prospective Payment System (PPS)?
The purpose in which data is collected
What is Application
A decision made by a MAC whether to cover a specific service on a MAC-wide, basis.
What is Local Coverage Determination (LCD)
The protection and promotion of patient and family rights and responsibilities in home care and hospice programs is addressed by
Consists of skilled nursing, physical therapy, occupational therapy, speech language pathology, medical social services and home health aid services.
What is Home Health Care?
A federal law that mandated the implementation of a new prospective payment system for skilled nursing facilities, home healthcare agencies, outpatient rehabilitation services, and other outpatient services provided to Medicare beneficiaries.
What is Collection
The episode payment is split to help alleviate cash flow concerns. The first payment is received once what has been submitted?
What is Request for Anticipated Payment (RAP)?
in 1990, which OBRA Act was enacted?
Indicates that the home health agency providing services has met certain minimum standards set by Medicare.
What is Medicare Certified?
Derived from responses to a standard core assessment tool known as
The processes and systems used to archive data and data journals
What is Warehousing
The code that provides the score indicating the payment for the episode is derived from the OASIS, so prior to submitting the RAP, the OASIS must be checked for accuracy and encoded to obtain the HHRG. which is converted to?
What is Health Insurance Prospective Payment System (HIPPS)?
A physicians order documenting a patient's desire for no resuscitation attempts.
What is a do not resuscitate (DNR) order?
An organization that provides home care services.
What is Home Health Agency?
Medicare home care reimbursement from a cost-based system (per visit) to a fixed-fee system for a 60 day episode based on a patient-need classification system. What is this patient need classification system called?
What is Home Health Resource Group (HHRG)?
The process of translating data into information used for an application
What is Analysis Application
What is another form of Prospective Payment System that is intended to replace the HHRG?
What is Home Health Groupings Model (HHGM)?
This is used to assess and improve the quality of care.
What is Outcome-based quality improvement (OBQI)?
The largest trade and "professional association representing the interests of chronologically ill, disabled, and dying Americans of all ages and the caregivers who provide them with in-home health and hospice services"
What is National Association for Home Care and Hospice (NAHC)?
Was incorporated into the requirements for hospices for the purposes of obtaining outcomes of data
What is Hospice Item Set (HIS)?
A physicians written plan saying what kind of services and care the patient needs for their health problems.
What is Plan of Care
Provides an additional payment to the episodic standardized rate for improved outcomes, is another potential change to the current PPS, and has been a success in the nine states that have tested the program?
What is Value-Based Purchasing (VBP)?
Indicates how often the home health agency follows best practices in assessment, care planning, education, prevention, and clinical interventions to improve outcomes.
What is Process Quality Measures?