Articles Archive
The Performance Improvement Plan; The New Survey Protocols, The RACs are Coming
The Performance Improvement Plan; Silent but Powerful Among RACs, MACs, MICs, and Z-PIC concerns, along with new survey protocols, new CY 2012 regulations, the advent of 5010, Accountable Care Organizations, and looming ICD-10 CM, what tools can a leader utilize to help mitigate risk? One such tool is the agency Performance Improvement Plan. Some agencies [...]
Read more...The RACs are Coming… The RACs are Coming… And Coding is a Target
RACs have recovered over 96% of all audited claims resulting in take-backs of over 2 billion dollars. Is it any wonder that the home health industry is concerned about their new focus in our industry? The RACs have been identified. The MACs, who will work with the RACs are all now in place. RACs are [...]
Read more...The New Survey Protocols: Are You Ready or How Did You Do?
The CMS new survey protocols have been in effect for over six months. The revised Home Health Agency Survey Protocols and New State Operations Manual are available online. The new survey process is data-driven and patient outcome-oriented with a focus on patient visits and personnel interviews. Though it appears less structured, it is very process-driven. [...]
Read more...The Performance Improvement Plan; Silent but Powerful
Among RACs, MACs, MICs, and Z-PIC concerns, along with new survey protocols, new CY 2012 regulations, the advent of 5010, Accountable Care Organizations, and looming ICD-10 CM, what tools can a leader utilize to help mitigate risk? One such tool is the agency Performance Improvement Plan. Some agencies treat these plans as necessary evils while [...]
Read more...Educational Videos: RACs, MACs, Z-PICs, Part II of IV
RACs, MACs, Z-PICs, Part II of IV CERTS – (Comprehensive Error Rate Testing) To better calculate the performance of the FIs and MACs, as well as to look at the reasons for their errors, CMS decided to look at a number of additional rates. The additional rates include provider compliance error (how well providers [...]
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