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Home Health Prospective Payment System (HH PPS) Grouper v5216 effective 10/01/2016 (posted 09/16/2016)

The Home Health Prospective Payment System (HH PPS) Grouper v5216 is available for download at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HomeHealthPPS/CaseMixGrouperSoftware.html
The HH PPS Grouper v5216 is a required update for OASIS submissions with an assessment completion date on or after October 1, 2016.


jHAVEN 1.1.2 (posted: 09/12/2016)

jHAVEN 1.1.2 is now available for download from the jHAVEN / HAVEN Download page.


OASIS C2 Software Developer/Vendor Call Minutes (posted: 02/19/2016)

The minutes from the CMS OASIS C2 Software Developer/Vendor Call held on on February 3, 2016 are available for download are available on the Vendor - OASIS Information page.


Attention: OASIS (HHA) to QIES Assessment Submission and Processing (ASAP) System (posted 11/09/2015)

Effective January 1, 2015, OASIS assessment data will be submitted to CMS via the national OASIS Assessment Submission and Processing (ASAP) system.

With the implementation of the OASIS ASAP system, Home Health Agencies will no longer submit OASIS assessment data to CMS via their state databases. To access the OASIS ASAP system, you will need a QIES / HHA User ID.
If you currently have a QIES / HHA User ID no action is required. This User ID will allow access to both the OASIS (ASAP) Submission System and CASPER Reporting System.

If you do not have a QIES / HHA User ID, refer to the OASIS Access Information page for details regarding how to obtain access.


Announcement: Home Health Claims Matching (posted: 03/20/2015)

Follow this link for important information from the Medicare Learning Network (MedLearn) regarding the OASIS claims matching system: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1504.pdf.

This article details how the Fiscal Intermediary Shared System (FISS) interacts with the Health Insurance Prospective Payment System (HIPPS) to validate claims prior to reimbursement. The article covers possible outcomes, including what items need to match and why claims are returned with Reason Code 37071.



Notice: Home Health Quality Measure (updated 08/26/2011)

There are three types of Home Health Quality Measures based on OASIS-C data: Process Measures, Outcome Measures, and Potentially Avoidable Events. Information about the schedule for reporting measures, brief descriptions of each type of measure, and tables identifying which Home Health Quality Measures are risk adjusted and reported publicly is now available on the CMS Website:

http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/index.html.


OASIS Considerations for Medicare PPS Patients - December 2010 (Updated: 01/19/11)

http://www.cms.hhs.gov/OASIS/Downloads/OASISConsiderationsforPPS.pdf



 

 

 

 


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