Amity Healthcare Group Weekly Newsletter Issue date: March 4th, 2022

Issue date: March 4th, 2022

Here are some home health related updates for this week:


ICD-10 Coding and Clinical Documentation Review

Amity Healthcare Group is offering a variety of options for home health organizations to outsource ICD-10 coding and clinical documentation review. Whether you are looking for ICD-10 coding support, OASIS review, or an episodic documentation review, our clinical professionals will be able to support your needs

We provide the following services:

  • ICD- 10 Coding
  • OASIS Review+ ICD-10 coding
  • OASIS Review + POC (Plan of Care) Review
  • OASIS Review + ICD-10 Coding+ POC (Plan of Care) Review
  • Episodic documentation review
  • Quality Trends Analysis and QAPI Development

Go to Price Table for a complete service description and price list

Accurate coding and compliant clinical documentation are key factors for ongoing regulatory compliance and the financial health of the organization. Outsourcing coding and clinical documentation review to trained clinical professionals is one of the most effective strategies to strengthen and enhance documentation from regulatory, payment, and legal perspectives and includes the following benefits:

  • Efficiency
  • Expertise
  • Improved quality measures/scores
  • Lower cost of doing business
  • Prompt and proper payment
  • Ability to prioritize patient care

Working with Amity Healthcare Group, you will be able to take advantage of:

  • Dedicated clinical professional assigned to your organization
  • 24-48 hours turnaround time
  • EMR flexibility (Axxess, Wellsky, Netsmart, etc.)
  • HIPPA compliant communication
  • Ongoing communication and monthly management reporting
  • QAPI/PIP development
  • Individualized training
Amity Healthcare Group is on Home Health 360◦ Podcast
Listen to Episode 14 of the Home Health 360◦ Podcast- The Role & Impact of Competency Programs in Home Health
Erin Vallier sits down with Lourdes Wiley, Clinical Educator and Nurse Consultant, and Irina Gorovaya, Home Health Consultant, Educator, and Founder of Amity Healthcare Group as they dive into the importance of staff training and competency programs in home health agencies.To listen to the podcast, please go to:

As you know, OASIS -E is scheduled to go into effect on January 1, 2023.
CMS has recently submitted OASIS-E to the Office of Management and Budget (OMB). In response to that, (OMB) has issued the information collection packet for the Outcome and Assessment Information Set (OASIS)-E, which includes three attachments and the Supporting Statement document outlining the burden estimate for both home health agencies (HHAs)  and the federal government.

Please take a moment to review the attachments included in the packet.

  • Attachment A: OASIS-E change table that compares the changes made to OASIS-E from the OASIS-D
  • Attachment B: includes all the OASIS items
  • Attachment C: an itemized list of the OASIS-E data elements

The information packet includes CMS projection that assessment items in the data set will take a range of 0.15-0.3 (9-18 seconds respectively) minutes of clinician time to complete.

  • Estimated time spent per each OASIS-E Start of Care (SOC) Assessment/Patient = 57.3 clinician minutes for 203 data elements
  • Resumption of Care (ROC) Assessment/Patient = 48 minutes for 172 data elements
  • Estimated time spent per each OASIS-E Follow-Up (FU) Assessment/Patient = 13.2 minutes for 4 data elements
  • Estimated time spent per each OASIS-E Discharge (DC) Assessment/Patient = 40.2 minutes for 146 data elements

Please remember that public comments period for the OASIS-E information collection is open until April 11, 2022.

Preview Reports & Star Rating for April 2022 Refresh
On February 24, 2022, the April 2022 refresh became available in iQIES. The April 2022 refresh will add new OASIS-based measures for public reporting in alignment with the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014:

  • Percent of Residents Experiencing One or More Falls with Major Injury
  • Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function

Please note that the claims-based quality measures within this preview report remain frozen. CMS is targeting the July 2022 refresh of Care Compare for the resumption of HH claims-based measure updates on Care Compare.

The Review Choice Demonstration
CMS posted the following update for North Carolina and Florida providers on March 2, 2022, as related to Review Choice Demonstration (RCD)
Beginning April 1, 2022, CMS will implement the 25% payment reduction in North Carolina and Florida where applicable.
Initially, to help NC and FL providers transition to full implementation in the demonstration, CMS had not implemented the 25% payment reduction. Following implementation, claims submitted on or after April 1, 2022, by providers in NC and FL that have selected Choice 1 and do not have a pre-claim review decision, or who selected Choice 3, will be subject to the 25% payment reduction.

Pediatric Home Health Prior Authorization Request Update

As you may know, the Department of Health Care Policy & Financing (the Department) announced in January a temporary pause on prior authorization requests (PARs) for a series of pediatric long-term home health services and home health therapies.
As you may know, the Department of Health Care Policy & Financing (the Department) announced in January a temporary pause on prior authorization requests (PARs) for a series of pediatric long-term home health services and home health therapies. Those included PARs for pediatric long-term home health Certified Nursing Assistant (CNA) services, and home health physical therapy, occupational therapy, and speech language pathology therapy services. The temporary pause was scheduled to end on June 1, 2022, at the earliest.

However, effective February 28, 2022, the Department announced that the pause will extend through March 2024 and will now include:

  • Pediatric long-term home health CNA services
  • Pediatric long-term home health therapies: occupational therapy, physical therapy, and speech-language pathology therapy
  • Pediatric long-term home health intermittent skilled nursing

According to the Department, “the two-year pause allows the Department time to engage with stakeholders, train providers on operational changes, evaluate benefit policy, and notify Health First Colorado (Colorado’s Medicaid program) members before the pause is lifted. This also gives the Department time to ensure full compliance with federal and state policy while keeping Health First Colorado members and their needs front and center.”

Please also remember that the Department is holding a session for CNA providers and family caregivers on Friday, March 4. Register here.

Recovery Audit Contractor (RAC) Review
The Colorado Health Care Policy and Financing announced in its March Provider Bulletin that Health Management Systems, Inc. (HMS) has been contracted to serve as Recovery Audit Contractor (RAC) to conduct post-payment reviews of claims submitted for fee-for-service and managed care services contracted, in compliance with Section 6411(a) of the Affordable Care Act. This is a federally mandated contract program.
Provider outreach will be conducted to give an overview of the RAC review process and to outline provider rights and statute timelines associated with these reviews. Ambulatory Surgical Centers (ASC), Home Health, and Home and Community-Based Services (HCBS) claims have recently been selected for a potential RAC review and these providers are encouraged to participate in the outreach.

HMS has pre-recorded the training to allow providers to participate at their convenience if they are unable to attend live webinars. The pre-recorded webinar and provider portal training is located on the HMS Colorado RAC web page, as are other resources and information for providers.

Click below to access the recorded webinars:

HMS will also be offering two Webinars where the recording will be played but there will also be time for questions & answers following the training. The dates, links and times of these webinars are below:

Wednesday March 9th, 2022, at 9:00 a.m. MST
Meeting ID:
Phone Number (US)0131-609-:1 507
PIN: 541 868 148#

Friday March 11th, 2022, at 11:00 a.m. MST
Meeting ID:
Phone Number (US):1 601-522-7118
PIN: 339 428 910#

Amity’s Friday emails (newsletters) will be archived on Amity’s Healthcare Group website at under Weekly Newsletter section.
Please do not hesitate to reach out for any assistance or questions via email, phone or website at

If you wish to forward this email to your colleague or friend, please feel free to do so. If you received this message as a forward, we invite you to subscribe to our communications at (look for “Subscribe to Listserv” in the top corner). If you wish to unsubscribe from this email distribution list, please email to

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)

You may also like