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Home Health Quality Reporting, HHCAHPS, and Survey Readiness

For a Medicare-certified agency, meets the Home Health Quality Reporting Program: OASIS and other data submitted as CMS specifies, the 90 percent OASIS submission threshold that avoids a 2-percentage-point payment reduction, HHCAHPS through an approved independent vendor (or the annual patient count for an exemption), and the exception and reconsideration routes. For every agency, sets out how it stays ready for Ohio Department of Health licensing reviews and federal and accreditation surveys, and how it answers a statement of deficiencies.

Preview: full text with a package
About this policy
Policy number
OH-HH-QA-03
Version
1.0
Main rule
42 CFR §484.245
Library
Ohio home health · 59 policies
Category
Quality
Sections
18

In short

  • Complete and send OASIS assessments on time: late or missing data can cut the Agency’s Medicare payment.
  • Never tell patients how to answer the patient experience survey, and never offer anything for a good rating.
  • Surveyors can arrive without notice. Be polite, answer honestly from what you know, and call the Administrator.
  • Never create, change or back-date a record because a survey is coming.
  • After a survey, every deficiency is corrected and checked until the fix lasts.

What's inside

18 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §484.245)
  • 5. Quality Data Submission (Medicare-Certified Agencies)
  • 6. HHCAHPS (Medicare-Certified Agencies)
  • 7. Exceptions, Reconsideration, and Appeal (Medicare-Certified Agencies)
  • 8. Who Surveys the Agency
  • 9. Being Ready for a Survey
  • 10. Statement of Deficiencies and Plan of Correction
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Which HHCAHPS vendor do you use, and how do you send it your patient lists?
  • Show me your OASIS submission reports. Did you meet the data completion threshold last year?

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