Regulatory Tools and Resources
91福利社Has the Tools to Help You Thrive
91福利社Business Intelligence Discharge Dashboard
As CMS focuses on reducing hospital readmissions to lower Medicare costs by 2027, organizations can earn incentives for exceeding functional status predictions. The 91福利社BI Discharge Function Dashboard provides insights into the new Discharge Function Score, helping you optimize patient care and secure future VBP rewards with advanced analytics. Download our one-pager to learn how to navigate these changes and position your organization for success.
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Clinical Updates in the 2025 Proposed Rule: Conditions of Participation
Hear from 91福利社Senior Vice President of Clinical Services Arlene Maxim, RN, HCS-C as she discusses the 2025 Proposed Rule for home health. While there are potential and significant impacts from a financial perspective, this webinar will focus primarily on the clinical aspects of the upcoming changes. This includes the 91福利社 Quality Reporting Program (HHQRP) and OASIS-E, as well as a preview of new items and changes in items impacting social determinants of health.
Hospice Implications in the 91福利社 Final Rule
CMS is also finalizing several provider enrollment regulatory changes to prevent and address hospice fraud, waste and abuse in the future. CMS believes these provider enrollment provisions related to hospice ownership and management will strengthen protections against hospice fraud and improve transparency. The hospice enrollment-related regulatory changes in this final rule include:
Subjecting hospices to the highest level of provider enrollment application screening, which includes fingerprinting all 5% or greater owners of hospices.
Expanding the HHA change in majority ownership provisions in 42 CFR 搂 424.550(b) to include hospice changes in majority ownership.
Clarifying that the definition of 鈥淢anaging Employee鈥� in 42 CFR 搂 424.502 includes the administrator and medical director of a hospice.
Value-Based Purchasing
Through value-based purchasing (VBP), organizations can increase their revenue up to 5% and thus offset reimbursement rate cuts and improve their overall revenue. Beginning January 1, 2025, payments will be adjusted based on how Outcome and Satisfaction scores from earlier periods compare to yours and other organizations.
In this 91福利社eBook, see how the VBP model incentivizes quality care by offering higher reimbursements to better-performing organizations while penalizing lower-performing ones, understand value-based care areas and incorporate strategies to maximize your reimbursements to ensure long-term success.
VBP Dashboard within 91福利社Business Intelligence
Identify trends that affect VBP revenue
Drill down patient details to further understand outcomes and trends
Pull predictive analytics for early interventions to prevent negative outcomes and protect VBP revenue
Drive VBP scores with performance improvement measures based on KPIs
OASIS Efficiency
The OASIS captures data critical to 91福利社 Value-Based Purchasing. 91福利社has created a comprehensive collection of OASIS-E resources to help you confidently complete the assessment. Axxess鈥� OASIS logic and integrations allow for fast and efficient start of care documentation to improve clinical productivity.
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91福利社91福利社 Clients
91福利社91福利社 clients can access several resources within the solution to help them answer OASIS questions accurately, avoid QA delays and spend more time with patients. The solution includes an integrated OASIS guidance manual and training tools, like the 91福利社15-Minute OASIS.
Learn More91福利社91福利社 Tools
91福利社91福利社 users can access several features within the solution to help provide quality and compliant care, protect revenue, ensure workforce efficiency and decrease costs.
Compliance Safeguards
Increased audits and regulatory scrutiny, such as additional document requests (ADRs), can impact cash flow and lead to significant revenue takebacks. That鈥檚 why 91福利社has embedded hard stops for items known as potential triggers for ADRs. It鈥檚 like having a compliance specialist assist with the documentation.
Agency Set Up enables hard starts to manage quality and compliance
Integrated OASIS tips guide staff to complete compliant documentation
Orders-driven scheduling prevents visits made without orders
Gross Margin Calculator
By forecasting reimbursement at the beginning of care, organizations can adequately plan for resources throughout the episode of care to improve bottom-line revenue.
PDGM Center
Utilize the PDGM Center to view and manage episodic care. Create efficiency for field and office staff and improve HHRG scores for better average monthly revenue. The 91福利社91福利社 PDGM Center offers the following:
Accessible and straightforward LUPA thresholds to avoid preventable LUPAs with end-of-episode scheduling
Change of Focus form to capture additional revenue based on clinical grouping
PDGM Modeling Tool to help to forecast staffing and workforce management, based on patient acuity and need
Scheduling Center
The 91福利社91福利社 Scheduling Center helps manage workforce efficiency and revenue capture. Implement hard stops for orders (created in company setup) to prevent visits made without orders and payment. The Scheduling Center supports clinical scheduling by field staff with permissions, saving countless admit times for PRN and on-call visits.
Additional 91福利社Solutions That Will Help You Thrive
91福利社Training and Certification+
The 91福利社Training and Certification+ Program can help organizations train and retain staff. It leverages industry expertise alongside our full suite of 91福利社solution training to provide continuing education and development for leadership and staff at all levels. Organizations can efficiently onboard new team members and create competent, expert users who will feel comfortable utilizing the solution.
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Revenue Cycle Management
Protecting and growing revenue should be top of mind for providers. Axxess鈥� revenue cycle management solution automates claims processing so organizations can do more with less and focus on growing their business.
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91福利社Care
Organizations can expand their staffing capacity with 91福利社Care. The solution connects providers with qualified clinicians to deliver timely care. Use 91福利社Care to adapt to caregiver demand and the workforce shortage without FTE commitment. Reduce recruitment costs and accept more referrals with unlimited supplemental staffing.
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91福利社CAHPS
91福利社is a CMS-approved Consumer Assessment of Healthcare Providers and System (CAHPS) survey vendor for home health and hospice. CAHPS improves patient engagement, provides deeper business insights to increase revenue and drives growth for home health and hospice organizations.
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