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Medicare Conditions of Participation

Hospice CAHPS : Get Ready!

Hospice CAHPS is here. If you have cared for more 50 or more decedents you will need to make a “dry run” before April 1st. Results from this dry run will not be published but demonstrates you have transmission capacities. Be ready to participate in the H-CAHPS process, it’s MANDATORY! Thanks to my friends at […]


Hospice Certification: For the Whole Team

I just took and passed my 4th recertification exam to maintain my hospice and palliative care nurse certification—whew! I was so disappointed in the first exam because I had all my med conversions and symptom management best practices down cold. I don’t think there was one question about opiate conversion on that test. This one […]


The Hospice OASIS is HERE; Otherwise called Hospice Item Set of HIS

Now at least it’s only a few pages long (OASIS is about 18) but we have to submit this quality data within 30 days of admission and 30 days of discharge.  Do you know how? Please contact me at carolandersonRN@gmail.com  and let me know if your hospice software is submitting this data for you!!!! I […]


21st Century Healthcare Consultants present their new Hospice Start Up Package

I am excited to report that I’ve joined forces with 21st Century Healthcare Consultants in developing a comprehensive Hospice Start Up Program. I’ve long been impressed with their work in the home health industry and when the company started discussing the addition of  hospice to their line of offerings, if they could just find the right person […]


Changes in Hospice; New Demands in Data; Get Expert Assistance

2014 is bringing many changes to the hospice industry. Outcome reporting is looking a lot like OASIS reporting and software selection is going to prove crucial in managing those changes. I am so pleased to announce that I am returning to CHAP and consulting after a year in the “real world”. I have learned so […]


A Common Medicare Deficiency: The Transfer Summary

Medicare Conditions of Participation dictate that (G 238)  “if a patient is transferred to another healthcare facility, a copy of the record or abstract is sent with the patient”. Inevitably I am asked “what if the agency is unaware that the patient went to the hospital?” and I commit my answer in writing here and […]


Notification to Patients re: Changes in the Plan of Care

According to Medicare at 484.10(c)(1) “The patient has the right to be informed, in advance about the care to be furnished, and of any changes in the care to be furnished. The HHA must advise the patient in advance of the disciplines that will furnish care, and the frequency of visits proposed to be furnished. […]


Medicare Billing Audits

Pre-billing audit processes are crucial to preventing revenue recoupment and even fraudulent billing criminal charges. Anderson & Tuttle, LLC have been busy defending ADR denials for instance and legal nurse consulting for agencies facing criminal charges that could have all been avoided with a 10 minute check-and-balance process: The Pre-Billing Record audit. For instance, we […]


Agency Start-Up Costs

What does it take to start your own home health agency or hospice agency? The first question I will ask you if you call me is about capitalization. Medicare requires 3 months of operating expenses on deposit at the bank in the name of the agency and less than 50% of that can be borrowed. […]