Office of Inspector General

Division of Health Care

Issue: #01-2014

March 2014

Office of Inspector General Home Page

Want to Know the Top 10 Citations for Home Health Agencies?

Top 10 Deficiencies Cited for Home Health Agencies

Dare to Compare

Star

CMS Announces Updated, Enhanced Tools for Patients to Compare Home Health Agencies.

Home Health Compare Updates

SURVEYORTRAINING.cms.hhs.gov

CMS Survey and Certification Group

Announcing the CMS, Center for Clinical Standards and Quality, Survey and Certification Group training site. The CMS training website allows providers to take courses that surveyors take. Click Here for a Tour!

Deletion Requests

Deletion requests should be submitted if an assessment was incorrectly submitted when "Patient should be Private Pay" or "Patient does not meet Medicare eligibility requirements". The Deletion Request form can be obtained here.

For security purposes, the completed form should be placed in double-envelopes and sent via Certified Mail to the address below.

Cabinet for Health and Family Services

Office of Inspector General

Attn: Rhonda Littleton-Roe

275 E. Main St., 5 E-A

Frankfort, KY 40621

Quality Quick Links

OBQI

OBQM

PBQI/ Process Measures

Home Health Quality Initiative

Data Quick Links

Haven Download

OASIS Downloads and Documents

Regulations Quick Links

OASIS-C

CMS OASIS Regulations

Guidelines to Surveyors: HHA

Certificate of Need (CON)

Requirements for Issuance of CON

Revised Home Health Survey Protocols

902 KAR 20:008. License Procedures and Fee Schedule

902 KAR 20:081. Operations and Services; Home Health Agencies

Cabinet for Health & Family Services

Office of Inspector General

Division of Health Care

Leadership Team

*Connie Payne, Acting Executive Director

* Jackie Aitkin, Assistant Director

* Melanie Poynter, Assistant Director

* Andrea Willhite, Assistant Director

* Dudley Ellis, Pharmacy Consultant

HOME HEALTH AGENCY

NEWSLETTER

Welcome to the Division of Health Care's March issue of the Home Health Agency Newsletter. This newsletter is a valuable vehicle to keep you updated on current events affecting Home Health Agencies.

Please feel free to share this newsletter with anyone you think would benefit. They can continue to receive this newsletter by joining our mailing list using the link at the bottom. We look forward to serving you through this communication vehicle.

OASIS Error Messages

Two General Types of Errors

Some errors are fatal and mean that the record was not accepted into the system.

Others are warning messages that may assist you with discovering errors or discrepancies in your data.

Fatal Record Error

Results in rejection of individual assessment
Error message and reason for rejection is reported on the Final Validation Report
Report provides all error messages associated with the assessment Fatal Record or Warning
Make appropriate corrections to assessment and resubmit

Correction number remains unchanged

Warning Message

'Issue' to 'Informational Alert'
Record is accepted
Warning Message and reason warning is reported on the Final Validation Report
Modify/Inactive assessment as appropriate

Correction number increases by one

OASIS Grouper

Home Health Prospective Payment System (HH PPS) Grouper (HHRG V3414) (updated 11/25/2013)

The Home Health Prospective Payment System (HH PPS) Grouper (HHRG V3414) is available for download.

The updated HH PPS Grouper is required for OASIS submissions with an assessment completion date on or after January 1, 2014.

It is posted on this CMS Website.

HAVEN 10.7

Posted by CMS on 12/20/2013

HAVEN 10.7 incorporates the version of the JAVA-based HIPPS Grouper V3414.

HAVEN users who do not update their HAVEN software to HAVEN 10.7 prior to exporting and submitting assessments with a M0090 date on or after January 1, 2014 will receive warning message +320: The submitted HIPPS_VERSION must match the calculated HIPPS_VERSION value.

Download site

OASIS Automation and Education Coordinator (OEC/OAC) Contacts

You may contact Jan Keeling with assessment or coding issues by phone at 502-564-7963,ext. 3301 or by e-mail at Jan.Keeling@ky.gov.

You can contact Rhonda Littleton-Roe at 502-564-7963, extension 3300 or Rhonda.Littleton@ky.gov for any transmission or technical issues.

CMS Medicare News

Recent Survey and Certification Memos

Memo-1

Below you'll find links to survey and certification memos issued by the Centers for Medicare and Medicaid Services (CMS) pertaining to Home Health Agencies. Please take a look and determine how these may impact your facility.

Click here to search All Previous Survey and Certification Memos

OASIS CMS Quarterly Q&As

The CMS January 2014 Quarterly Q&As are

available via the OASIS Answers website link below.

OASIS Answers

Outcome and Assessment Information Set (OASIS) Training

CMS has developed OASIS-C web-based training modules which provide instruction to assist Home Health Agencies (HHAs) in accurately completing the Outcome and Assessment Information Set (OASIS). In addition to providing an overview of the OASIS and conventions for data accuracy, these modules cover specific OASIS-C domains and provide item-specific guidance such as item intent, time points for item completion, response-specific item instructions, and data sources and resources.

The 15 modules are available HERE!

@ttention Providers!

E-mail Addresses Needed

So that we may deliver the best customer service, please ensure that the Division of Health Care has up to date contact information for your facility, including e-mail addresses.

E-mail

Please contact 502-564-7963 to provide this important information!

Privacy by:

We will never sell or disclose your information to third parties.

The Office of Inspector General is Kentucky's regulatory agency for licensing all health care, day care, long-term care facilities, and child adoption/child-placing agencies in the Commonwealth.

If you would like more information, visit our website at chfs.ky.gov/os/oig.

If you have an idea for a future article, e-mail Jami Biggs at Jami.Biggs@ky.gov.