From everyone at Amity Healthcare Group, we would like to say thank you for your continued loyalty and faith in us. It’s been fantastic working with you in 2022 and we hope we can continue working together in the forthcoming year. In the meantime, have a wonderful holiday season!
AMIY’S NEWS
As Home Health industry is bracing to face the most substantial changes in OASIS data collection in the past 20 years and is getting ready to start using OASIS-E instrument, we encourage you not to go through this challenge alone. Amity Healthcare Group is ready to support you through this challenge.
With OASIS-E and Home Health Value-Based Purchasing (HHVBP) coming just around the corner, take advantage of the professional assistance and customized OASIS-E training to ensure accurate OASIS-E completion and improved quality measures standing.
In the past several months, we have remained committed in our work to enhance our OASIS-E solutions and tools so we can continue to improve our support and dedication to your organizational quality.
We have:
- Prepared new OASIS-E documentation review tools
- Mapped the tools with new OASIS items, rationale, and guidance to streamline OASIS-E review process
- Developed additional capabilities to offer you/your organization a customized OASIS-E training
- Focused on the processes to connect your existing QAPI with HHVBP quality measures
- ICD – 10 Coding
- OASIS-E Review + ICD – 10 coding
- OASIS-E Review + POC (Plan of Care) Review
- OASIS-E Review + ICD – 10 Coding + POC (Plan of Care) Review
- Episodic documentation review
- Quality Trends Analysis and QAPI Development
- Customized training
Amity’s President, Irina Gorovaya, will be presenting one of the sessions for the Home Health Master Class Series offered by ACHCU.
A How-To Guide to Building a Successful Home Health QAPI ProgramAn effective and robust Quality Assessment and Performance Improvement (QAPI) program that is individualized to your agency’s needs is key for your agency’s ongoing improvement and success. This master class will focus on the primary goal of a QAPI program and its components and will provide a detailed step-by-step guide for developing a successful QAPI program within a home health organization. Participants will also learn how to effectively use iQIES reports for a QAPI program and how to use existing QAPI processes to support ongoing improvement under the expanded Home Health Value-Based Purchasing Model.To register, please go to: https://achcu.com/masterclass/
NATIONAL NEWS
Are You Ready for 2023?
I) Expanded Home Health Value Based Program (HHVBP)
Just a reminder that expanded HHVBP begins January 1, 2023. If you are seeking for resources to support your preparation for expanded HHVBP, please remember that the Expanded HHVBP model webpage houses over 30 resources (webinar recordings, Frequently Asked Questions (FAQs), a Model Guide, and monthly newsletters) designed to help Home Health Agencies prepare to implement the expanded Model.
II) Calendar Year (CY) 2023 Home Health Final Rule
Please remember that according to the CY 2023 Home Health Final Rule, beginning on or after January 1, 2023, HHAs may voluntarily report the use of telecommunications technology in the provision of home health services on claims. This information is required on home health claims beginning on July 1, 2023. HHAs are to submit the use of telecommunications technology when furnishing home health services, on the home health claim via three G-codes.
HHAs are to report furnished via telecommunications technology in line item detail and each service must be reported as a separately dated line under the appropriate revenue code for each discipline furnishing the service.
- G0320: home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system
- G0321: home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system
- G0322: the collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring).
- The use of remote patient monitoring that spans a number of days shall be reported as a single line item reporting the beginning date of monitoring and the number of days of monitoring in the units field.
III) Outcome and Assessment Information Set (OASIS)-E
OASIS-E data collection will begin with OASIS assessments with a M0090 date on or after January 1, 2023.
The final OASIS-E All Items, time point versions of the instrument, and the final version of OASIS- E manual are now available on the CMS website.
As an additional resource, CMS is now offering a cue card to assist providers in coding the Patient Health Questionnaire (PHQ-2 to 9) as referenced in the coding guidance for D0150.
This resource is intended to be utilized during the Patient Mood Interview as a supplemental communication tool that provides a visual reference to assist patient selection of symptom frequency. The cue card is offered in two sizes which can be viewed or printed and is available in the Downloads section of the HH QRP training pages.
COLORADO NEWS
Private Duty Nursing (PDN) and Prior Authorization Requests
In November 2022, the Colorado Department of Health Care Policy and Financing (HCPF) announced initiation of a temporary administrative approval process for PDN PARs until December 31, 2022 Subsequently, on December 6, 2022, HCPF announced that this process has been extended through February 28, 2022.
Kepro encourages providers to contact them for help submitting PAR reconsiderations or new PARs, or if the provider has not completed training. Contact the ColoradoPAR program for a resubmission plan if the PAR was denied prior to the administrative approval process. Visit the Provider Contacts web page for contact information.HCPF has also asked to share the website and email address below, for professional or family use. The Department is making an attempt to respond to any email messages within 2 days.
Website: https://hcpf.colorado.gov/
Email Address: homehealth@state.co.us
Family and Medical Leave Insurance (FAMLI)
As you know, Colorado voters approved Proposition 118 in November of 2020, paving the way for a state-run Paid Family and Medical Leave Insurance (FAMLI) program.
The FAMLI program will ensure all Colorado workers have access to paid leave in order to take care of themselves or their family during life circumstances that pull them away from their jobs – like growing their family or taking care of a loved one with a serious health condition. Under this benefit, most eligible employees will receive up to twelve weeks of paid leave. Those who experience pregnancy or childbirth complications may receive an additional four weeks.Both employers and employees will contribute premiums to the program. Premium payments begin in 2023, so employees may start to see a FAMLI premium deduction on their pay stubs beginning January 1, 2023. FAMLI will start providing benefits to employees beginning January 1, 2024.
As most Colorado workers will see deductions come out of their first paycheck in January 2023, it is important to notify your employees of this change in timely manner. The Required Program Notice must be posted before January 1, 2023. It’s now available in Spanish and 14 other languages. In addition to the timely notification of your employees, please remember to update your employee handbook with FAMLI related information. The Colorado Department of Labor is offering a 2023 EMPLOYEE FAMLI HANDBOOK for reference.
Please remember that businesses/employers will need to register at My FAMLI+ Employer online employer portal to manage FAMLI accounts. The portal will allow employers to report wage data, send premium payments, apply for exemption with a private plan and upload letters of declination votes.
Colorado Department of Labor held a FAMLI webinar on 12/19/2022. For recording and FAQs, please refer to:
FAMLI Webinar Recording: Live Q&A and Open Forum
FAMLI Webinar Slide Deck: Live Q&A and Open Forum
Please also note that if you are working with a third-party administrator (TPAs) such as Paychex, Gusto, etc., you should contact your TPA to ensure that they are set up for compliance with the FAMLI program. Colorado Department of Labor, created a dedicated page for TPAs with several new resources, including My FAMLI+ Employer how-to guides, file format specifications for wage reporting and bulk registration, sample files, and payment schedules. Please share this information with your TPA to ensure their systems are prepared to begin payroll deductions in January 2023.Here is a list of additional FAMLI resources:
- Video: How To Register
- Video: How Local Governments Opt Out
- My FAMLI+ Employer User Guide: Employers
- My FAMLI+ Employer User Guide: Local Governments
- My FAMLI+ Employer User Guide: Third Party Administrators
Amity’s newsletters will be archived on Amity’s Healthcare Group website at https://amityhealthcaregroup.
Please do not hesitate to reach out for any assistance or questions via email, phone, or website at https://amityhealthcaregroup.
Thank you,
Irina Gorovaya, RN BSN, MBA
Amity Healthcare Group, LLC
Home Health Consulting, Education and Outsourcing Services
720-353-7249 (cell) 303-690-2749 (office) 720-398-6200 (fax)
www.amityhealthcaregroup.com
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