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QIRT Quotes: QIRT experts are routinely quoted in industry resources. 

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Here are some helpful links that may be of use to you.


QIRT experts are routinely asked for their input on current events in home health, hospice, skilled nursing facilities and more. Check out the articles below for news on ICD-10, OASIS, PDGM, PDPM, ADRs, RCD and everything post-acute.

To Outsource, or Not to Outsource? 

The Pros and Cons of Outsource Coding

Every homecare agency administrator asks this question at one time or another. 

Corinne Kuypers-Denlinger, the vice president of post-acute care growth strategies for Quality in Real Time (QIRT) offers advice on how to know if outsourcing is a fit for your agency in the latest HomeCare Magazine.

See the article here on the pros and cons of outsourcing.


The Journey of Quality Cycle Management

The Requirements for Long-term Viability in Home Health

The following article, written by Corinne Kuypers-Denlinger, Vice President, Post-Acute Growth Strategies at QIRT, was originally published in HomeCare Magazine. Kuypers-Denlinger explores the importance of complete reassessment by home care agencies in advance of the new Patient Driven Groupings Model (PDGM). Agencies will find that they must have intake processes perfected, or they will not survive PDGM. QIRT has introduced Quality Cycle Management (QCM) to the post-acute industry. QCM will help your agency identify strengths and weaknesses and prepare for every challenge – including PDGM.

Let QIRT be your partner and guide on the path to quality.

Read find the article in its entirety here.


PPS rule: PDGM CMS adds more than 4,000 primary diagnosis codes to drive PDGM clinical groups 

In an article originally published in Diagnosis Coding Pro Health, Sherri Parson, director of staff development with QIRT spoke about the addition of the I13.2 code (Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease). "Allowing this code to trigger a clinical group makes sense and is a welcome addition," says Parson. "By leaving this code out initially, CMS likely was trying to avoid duplication of services based on the idea that a dialysis center would be providing care."

Read the article and view QIRT's contribution to Tool of the Month. 

Original publication: Diagnosis Coding Pro for Home Health Special Issue article12/2018; coding tool 2/2019. Shared with permission.

Managing Your Bottom-line in an Ever-changing Regulatory Environment

Corinne Kuypers-Denlinger, VP of Post-Acute Growth Strategies at QIRT, was recently published in HCAF's newsletter. In this article, Corinne shares with members her expertise and knowledge on the potential impact of PDGM and discusses the pros and cons of outsource coding. 

Read Corinne's article.


Nearly All HHAs Flunked TPE Review In Latest Round 

“That failure rate is disheartening; unbelievable." Joe Osentoski weighed in on the exceedingly low compliance rates under home health Targeted Probe and Educate (TPE) reviews. Read more here about the implication of results such as: "CGS reviewers completed 28 non-responses to Additional Development Request probes (5A004) in the three-month period, and found all 28 agencies non-compliant, moving them to round 2 as well." 

Copyright 2018, Eli Research. Reproduced with permission from Eli’s Home Care Week. For subscription information, call (800) 874-9180.

Compliance - Information on Additional Development Requests (ADRs), RAC Reviews, and other audits

2017 "Hot Button" Topics in Compliance

This one is about the pending Targeted Probe and Educate reviews:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/Targeted-Probe-and-EducateTPE.html

This relates to Medical Review and a CMS "Clinical Template" to assist agencies with compliance:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/Home_Health_Medical_Review_Update.html

These two deal with OASIS submission timeliness requirements:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/mm9585.pdf

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/se17009.pdf

Handling ADRs and Appeals.

Key Chapters from the Medicare Program Integrity Manual on Medical Review (3 and 6):

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/pim83c03.pdf

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/pim83c06.pdf

Information on Recovery Audit Contractor (RAC) reviews:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/

 

Bring Health Care Home

By JACK RESNICK , Originally Published: December 4, 2011

ONE of my patients called me with a high fever, chills and dropping blood pressure. He was 48 and had been a quadriplegic since he was shot during a robbery in the hardware store he owned. I called an ambulance and admitted him to the hospital, where we soon brought his urinary tract infection under control. But he developed a bedsore, which became infected with an antibiotic-resistant bacterium that breeds in hospitals. He didn’t survive the hospitalization.

MORE: http://www.nytimes.com/2011/12/05/opinion/bring-health-care-home.html?_r=1

ICD-10 Coalition Urges Congress To Keep Oct. 1, 2015, Transition Date

Originally Published: Wednesday, November 19, 2014

Last week, a coalition of health care groups sent a letter to House and Senate leaders urging them to ensure that ICD-10 implementation is not delayed again, Clinical Innovation & Technology reports (Walsh, Clinical Innovation & Technology, 11/18).

MORE: http://www.ihealthbeat.org/articles/2014/11/19/icd-10-coalition-urges-congress-to-keep-oct-1-2015-transition-date


Home health care an increasingly popular alternative, By David Scott

Originally Published: December 10, 2014, 10:31 pm

AUSTIN (KXAN) — With an aging American population and the growing crunch of hospital space and costs, home health care is now an $82 billion a year business. One trick is matching the home clinician with the patient who needs them, and one fast-growing Austin software company is doing just that, here and across the country.

MORE: http://kxan.com/2014/12/10/home-health-care-an-increasingly-popular-alternative/

Contact Us

QIRT leads the post-acute industry in coding, billing, and consulting. Serving agencies across the United States, QIRT provides multi-level coding/MDS/UAS reviews, quality assurance, appeals, outsourced billing, consulting, and education.

15 Verbena Avenue, Suite 210, Floral Park, NY 11001

855.485.QIRT (7478)

855.485.QIRT (7478)

516.706.3341

516.706.3341

Recent News

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    Friday, March 15, 2019


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    Monday, February 4, 2019


  • QIRT Kicks Off the New Year with Promotions and New Additions Learn More

    Tuesday, January 22, 2019


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