One Clinician Rule
Based on feedback from home health stakeholders, and to better align with assessment practices in other Post-Acute Care settings, we have modified the current home care guidance related to the one clinician convention. As required by the Conditions of Participation, the Comprehensive Assessment will continue to be the responsibility of one clinician. However, effective January 1, 2018, the assessing clinician will be allowed to elicit feedback from other agency staff, or order to complete any or all OASIS items integrated within the Comprehensive Assessment.
Starting in January 2018 agencies will no longer have to use DDE or paper claims submit NOEs but can use what is essentially a specialized electronic claim that can be submitted electronically. This will save our HealthWare Hospice agencies a huge amount of time and we will have our agencies ready for this in Q4 2017 ahead of the 1/2/2018 implementation date.
To be covered by the Medicare hospice benefit, a beneficiary must sign an election statement, indicating their choice of hospice care instead of curative treatment. The hospice notifies the Medicare program that a beneficiary’s election is on file by submitting a Notice of Election (NOE). Until now The NOE is a submitted like a claim. The hospice key-enters the NOE information into the Medicare contractor’s Direct Data Entry (DDE) screens. The NOE processes through Medicare claims systems, which updates beneficiary records and later uses the information to adjudicate hospice claims.
HERE COMES THE BOOM: THE NEXT GENERATION IN NEED OF HOME CARE
Expect a caregiving environment rich in technology in the not-so-distant future