Starting January 1, 2022, the Notice of Admission (NOA) for Home Health Agencies (HHAs) will go into effect. Is your EMR system ready for the cross-over period? If your EMR system will not be ready for the cross-over period, your agency will be required to key the NOAs directly into the Direct Data Entry (DDE) system. Below is a link to a job aid that provides details of keying the NOA into the DDE, developed by CGS, NGS, and Palmetto GBA:
https://cgsmedicare.com/hhh/education/materials/pdf/billing_noa.pdf
As a HHA, it is imperative to determine if your EMR system will be ready and/or if someone within your agency has a valid, active password for and can access the DDE system. There will NOT be a grace period nor will there be exceptions granted for NOAs not submitted due to an inability to enter data due to an EMR issue or lack of access.
If you have not taken the steps to ensure that either a) your EMR system is ready for the cross-over or b) there is an individual in your agency with the ability to key the NOAs directly into the DDE system, this steps would need to be taken immediately.
The information includes a flowchart regarding work restrictions for HCP
Click on the links below to find out more about the final rule to the recalibration of the PDGM case-mix weights, functional levels, and comorbidity adjustment subgroups while maintaining the CY 2021 LUPA thresholds for CY 2022 and updates the FDL.
On December 14, 2021, Strategic Healthcare Programs (SHP) developed a side-by-side crosswalk comparison guide of the OASIS-D1 and expected OASIS-E assessment forms. This tool is for all home health agencies (HHA) and will aid in the transition to OASIS-E (going into effect January 2023) assessment forms.
OASIS-D1 to OASIS-E Crosswalk Comparison Guide
The new items that will be introduced in OASIS-E include:
A1005: Ethnicity
A1010: Race
A1110: Language
A1250: Transportation
A2120: Provision of Current Reconciled Medication List to Subsequent Provider at Transfer
A2121: Provision of Current Reconciled Medication List to Subsequent Provider at Discharge
A2122: Route of Current Reconciled Medication List Transmission to Subsequent Provider
A2123: Provision of Current Reconciled Medication List to Patient at Discharge
A2124: Route of Current Reconciled Medication List Transmission to Patient
B0200: Hearing
B1000: Vision
B1300: Health Literacy
C0100: BIMS: Should Brief Interview for Mental Status (C0200-C0500) be Conducted?
C0200: BIMS: Repetition of Three Words
C0300: BIMS: Temporal Orientation
C0400: BIMS: Recall
C0500: BIMS: Summary Score
C1310: Signs and Symptoms of Delirium (from CAM©)
D0150: Patient Mood Interview (PHQ-2 to 9)
D0160: Total Severity Score
D0700: Social Isolation
J0510: Pain Effect on Sleep
J0520: Pain Interference with Therapy Activities
J0530: Pain Interference with Day-to-Day Activities
K0520: Nutritional Approaches
N0415: High-Risk Drug Classes: Use and Indication
O0110: Special Treatments, Procedures, and Programs