Monthly Archives: August 2022

Permanent or Past – What’s Your Evidence?

Evidence is vital in risk adjustment work, and not all evidence is the same, as we’ve blogged in the past.  One area of growing concern is distinguishing between conditions that may be permanent and those which may improve and resolve.  … Read Full Post

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Top Home Health Agency Survey Deficiencies: Medication review

In Part 1 of this blog series on ACHC’s top home health agency survey deficiencies, we looked at the Plan of Care.  In the second installment of this weighty topic, let’s discuss medications.  CMS – and by extension, accrediting organizations … Read Full Post

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HEDIS Reminder: Medication reconciliation

HEDIS, or the Healthcare Effectiveness Data and Information Set, is a collection of statistics that reflects health plan (and provider) performance in meeting specific quality metrics.  One important metric is the post discharge medication reconciliation (Category II code 1111F).  Obviously, … Read Full Post

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Recognized Diabetic Manifestations

Even people who know only the basics of risk adjusted payments know that there is a hierarchy in coding diabetes.  Diabetes with no complications contributes about two-thirds less in funding when compared to diabetes with a complication.  The unfortunate reality … Read Full Post

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Florida Legislature Revises Assistance with Self-Administration of Medications Statute

The Florida Legislature recently revised Section 400.488, F.S which details what constitutes ‘Assistance with Self-Administration of Medications’ (ASAM) as it applies to home care organizations. The definition has expanded the tasks an unlicensed person in a home health setting may … Read Full Post

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Termination for Poor Performance is Often a Management Failure – Part 2

We started this two-part blog series about performance issues by looking at the aspects of work-life that perhaps make us too busy to devote the time to remediate staff behaviors that miss the mark. In this part, we’ll answer the … Read Full Post

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Termination for Poor Performance is Often a Management Failure – Part 1

Supervising an employee’s work and coaching improvement are hard to accomplish on a consistent basis, but they’re critical to an organization’s operations and even its survival.  And frankly, we owe it to our staff members to periodically assess their work … Read Full Post

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Medical Records & MRA

Everyone involved in health care knows that having historical information on a patient is important, especially when the patient is relatively new to the provider.  The most meager of prior records still help to fill in the medical picture and … Read Full Post

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