{"id":6745,"date":"2021-07-23T12:51:07","date_gmt":"2021-07-23T18:51:07","guid":{"rendered":"https:\/\/staging.amityhealthcaregroup.com\/?p=6745"},"modified":"2025-07-04T06:07:44","modified_gmt":"2025-07-04T12:07:44","slug":"july-23th-2021","status":"publish","type":"post","link":"https:\/\/staging.amityhealthcaregroup.com\/?p=6745","title":{"rendered":"Issue date: July 23th, 2021"},"content":{"rendered":"<div id=\"modal-ready\"><p><strong>Thank you to everyone who stopped by our booth at Home Care Association of Florida 32nd Annual Conference!<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>The conference was a success!<\/strong><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-6747 size-full\" src=\"https:\/\/staging.amityhealthcaregroup.com\/wp-content\/uploads\/conference.png\" alt=\"\" width=\"1075\" height=\"235\" srcset=\"https:\/\/staging.amityhealthcaregroup.com\/wp-content\/uploads\/conference.png 1075w, https:\/\/staging.amityhealthcaregroup.com\/wp-content\/uploads\/conference-700x153.png 700w, https:\/\/staging.amityhealthcaregroup.com\/wp-content\/uploads\/conference-300x66.png 300w, https:\/\/staging.amityhealthcaregroup.com\/wp-content\/uploads\/conference-768x168.png 768w, https:\/\/staging.amityhealthcaregroup.com\/wp-content\/uploads\/conference-1024x224.png 1024w\" sizes=\"(max-width: 1075px) 100vw, 1075px\" \/><\/p>\n<p>For the recording of our presentation on \u201cPractical Guide to Home Health Competency Program,\u201d please go to: <a href=\"https:\/\/youtu.be\/lprePwkQl-k\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/youtu.be\/lprePwkQl-k&amp;source=gmail&amp;ust=1627152316647000&amp;usg=AFQjCNEtRAb7wJrRoeroMYkivxsWsg2NsQ\">https:\/\/youtu.be\/lprePwkQl-k<\/a><\/p>\n<p><strong><u>Amity Healthcare Group Consulting Services<\/u><\/strong><\/p>\n<p>Amity Healthcare Group is providing continuous support to home health providers in the following areas:<\/p>\n<ul>\n<li><strong>Medicare Certification\/Accreditation Survey preparation <\/strong><\/li>\n<li><strong>Regulatory and clinical compliance review<\/strong><\/li>\n<li><strong>QAPI implementation and analysis <\/strong><\/li>\n<li><strong>Emergency Preparedness <\/strong><\/li>\n<\/ul>\n<p>If you need assistance with any of the above, please call us <strong>303-690-2749<\/strong> to schedule your 30-minute free consultation.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><u>NATIONAL NEWS<\/u><\/strong><\/p>\n<p><strong><u>US Department of Health and Human Services Renews Public Health Emergency <\/u><\/strong><\/p>\n<p>On July 19, Secretary of Health &amp; Human Services (HHS) <a href=\"https:\/\/www.phe.gov\/emergency\/news\/healthactions\/phe\/Pages\/COVID-19July2021.aspx\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.phe.gov\/emergency\/news\/healthactions\/phe\/Pages\/COVID-19July2021.aspx&amp;source=gmail&amp;ust=1627152316647000&amp;usg=AFQjCNGhbJl0c5YrGennUH3j33h7n8XUsA\">renewed the Public Health Emergency<\/a> (PHE) that has been in effect since January 27, 2020 due to the outbreak of COVID-19.<\/p>\n<p><strong>The Public Health Emergency is renewed effective<\/strong> <strong>July 20, 2021<\/strong> <strong>for additional 90 days. <\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2><strong><u>Home Health PEPPER <\/u><\/strong><\/h2>\n<p>The Home Health Program for Evaluating Payment Patterns Electronic Report (PEPPER) is now available for download at the PEPPER Portal. PEPPER summarizes Medicare claims data statistics for a provider in \u201ctarget areas\u201d that may be at risk for improper Medicare payments and, as such, assists providers in identifying areas where performance falls outside the norm and payments may be at risk.<\/p>\n<p>Please note, that in order to align the target areas and reports with the new risks associated with the PDGM, the following changes were instituted:<\/p>\n<ul>\n<li>There are three new target areas for home health this year<\/li>\n<\/ul>\n<ul>\n<li>Low comorbidity (count of periods with a secondary diagnosis that qualified as a low comorbidity adjustment paid to the HHA during the time frame)<\/li>\n<li>High comorbidity (count of periods with a secondary diagnosis that qualified as a high comorbidity adjustment paid to the HHA during the time frame)<\/li>\n<li>Admission Source (count of periods of admission where admission source was institutional)<\/li>\n<\/ul>\n<ul>\n<li>High Therapy Utilization Episodes target area was deleted<\/li>\n<li>Top Diagnoses Report was deleted<\/li>\n<li>Top Therapy Episodes Report was deleted<\/li>\n<li>Top Clinical Groups Report was added<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3><strong><u>COVID-19 Accelerated and Advance Payments: Updated FAQs<\/u><\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p>On July 8<sup>th<\/sup>, 2021 <a href=\"https:\/\/www.cms.gov\/files\/document\/covid-advance-accelerated-payment-faqs-06-24-21.pdf\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.cms.gov\/files\/document\/covid-advance-accelerated-payment-faqs-06-24-21.pdf&amp;source=gmail&amp;ust=1627152316647000&amp;usg=AFQjCNGQUMyk2RG1NkSqSqbQEulSGtU6fQ\">CMS updated FAQs <\/a>related to repayment of COVID-19 accelerated and advance payments. If you got these payments, learn more about how recoupment works and how it affects your Medicare claims payment amounts.<\/p>\n<p>For additional information, please also check the links below:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.cms.gov\/medicare\/covid-19-accelerated-and-advance-payments\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.cms.gov\/medicare\/covid-19-accelerated-and-advance-payments&amp;source=gmail&amp;ust=1627152316647000&amp;usg=AFQjCNGbMta6gCpTIW5NWzMassn-CpmOzQ\">COVID-19 Accelerated and Advance Payments<\/a> webpage<\/li>\n<li><a href=\"https:\/\/www.cms.gov\/files\/document\/se21004.pdf\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.cms.gov\/files\/document\/se21004.pdf&amp;source=gmail&amp;ust=1627152316647000&amp;usg=AFQjCNFcv2FvXvY6-68NxvVlkSEnw7p6FA\">Repayment of COVID-19 Accelerated and Advance Payments Began on March 30, 2021 (PDF)<\/a> MLN Matters Article<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3><strong><u>OSHA Emergency Temporary Standard<\/u><\/strong><\/h3>\n<p>&nbsp;<\/p>\n<p>Just a couple of reminders\/updates as related to OSHA Emergency Temporary Standard:<\/p>\n<ol>\n<li>Compliance deadlines (please make sure that your OSHA ETS plans are completed, as applicable, and met the following deadlines):<\/li>\n<\/ol>\n<ul>\n<li>Majority of the standards &#8211; <strong>7\/6 \/2021<\/strong><\/li>\n<li>Physical barriers, Ventilation, and Training standards &#8211;<strong>7\/21\/2021<\/strong><\/li>\n<\/ul>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Effective period: <strong>ETS is effective for 6 months<\/strong><\/li>\n<li>Stakeholder comments (<strong>period extended from July 21, 2021 to<\/strong> <strong>August 20, 2021)<\/strong>.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ul>\n<li><strong>Clarification on<\/strong> aerosol generating procedures (AGP) and <strong>nebulizer treatments<\/strong><strong>: a<\/strong>lthough a nebulizer treatment is an AGP, OSHA does not include nebulization in the list of AGP for the OSHA ETS because evidence of COVID-19 transmission through nebulizer treatments is inconclusive. Therefore, the requirements within the standards related to AGP do not apply to nebulizer treatments (you still may choose to consider nebulizer treatment as a high risk procedure) . The only medical procedures that are considered AGPs for the purposes of this ETS are: open suctioning of airways; sputum induction; cardiopulmonary resuscitation; endotracheal intubation and extubation; non-invasive ventilation (e.g., BiPAP, CPAP); bronchoscopy; manual ventilation; medical\/surgical\/ postmortem procedures using oscillating bone saws; and dental procedures involving ultrasonic scalers, high-speed dental handpieces, air\/water syringes, air polishing, and air abrasion.<\/li>\n<\/ul>\n<p><strong><u>Survey on Home Health Aide Adequacy<\/u><\/strong><\/p>\n<p>As part of the 2022 proposed home health rate update rule, the Centers for Medicare &amp; Medicaid Services (CMS) is asking for information on the adequacy of home health aide staffing. CMS is seeking information on the following questions.<\/p>\n<ul>\n<li>Whether home health agencies employ or arrange for (under contract) home health aides to provide aide services;<\/li>\n<li>The number of home health aides per home health agency (both directly employed and under contract), and whether the number has increased or decreased over the past 5\u201310 years;<\/li>\n<li>The average number of aide hours per beneficiary with aide service ordered on the plan of care;<\/li>\n<li>The effect of the public health emergency on the ability of HHAs to employ home health aides or arrange for (under contract) the provision of home health aide services.<\/li>\n<\/ul>\n<p>A <a href=\"https:\/\/www.surveymonkey.com\/r\/9R3HTLS\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.surveymonkey.com\/r\/9R3HTLS&amp;source=gmail&amp;ust=1627152316648000&amp;usg=AFQjCNHyYGPxv4H3R7fzuo2tmgmteFjDMw\">survey<\/a> has been developed by the National Association for Home Care &amp; Hospice (NAHC) that incorporates these questions.<\/p>\n<p><strong><u>To take the survey, please go to: <\/u><\/strong><a href=\"https:\/\/www.surveymonkey.com\/r\/9R3HTLS\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.surveymonkey.com\/r\/9R3HTLS&amp;source=gmail&amp;ust=1627152316648000&amp;usg=AFQjCNHyYGPxv4H3R7fzuo2tmgmteFjDMw\"><strong>https:\/\/www.surveymonkey.com\/r\/9R3HTLS<\/strong><\/a><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong><u>Review Choice Demonstration for Florida and North Carolina <\/u><\/strong><\/p>\n<p><strong>Full implementation of the Home Health (HH) Review Choice Demonstration (RCD) will begin effective September 1, 2021, for HH providers in North Carolina (NC) and Florida (FL).<\/strong><strong>\u00a0\u00a0<\/strong>CMS will discontinue exercising the phased-in participation for HH RCD providers in these states. In preparation for full implementation, there will be an additional mid-cycle selection period, as detailed below:<\/p>\n<ul>\n<li>Selection Period Start Date: <strong>August 1, 2021<\/strong><\/li>\n<li>Selection Period End Date: <strong>August 15, 2021<\/strong><\/li>\n<li>New Selection Effective Date: <strong>September 1, 2021 <\/strong><\/li>\n<\/ul>\n<p>Providers who made a selection during the first selection period for Cycle 2 in April and wish to remain in the same option they previously selected do not need to take any action.<\/p>\n<p>Providers who previously made a selection for Cycle 2 in April and wish to change their selection will have the ability to do so during the mid-cycle selection period. The RCD Choices available to these providers will be based on their Cycle 1 results.<\/p>\n<p>Providers who did not previously make a selection for Cycle 2 and do not make a selection during this mid-cycle selection period will default to either Choice 2 (Postpayment Review) or Choice 4 (Selective Postpayment Review) based on their Cycle 1 results.<\/p>\n<p>Cycle 2 for NC and FL will end on October 31, 2021.<\/p>\n<p><strong>In addition, CMS will resume applying the 25% payment reduction where applicable in all five demonstration states &#8211; Illinois, Ohio, Texas, Florida, and North Carolina.<\/strong><\/p>\n<p><strong><u>COLORADO NEWS<\/u><\/strong><\/p>\n<p><strong><u>OASIS-D1: Line-by-Line Training <\/u><\/strong><\/p>\n<p>The Health Facilities Education and Quality of the Health Facilities and Emergency Medical Services Division announced OASIS -D1 training\u00a0 that will allow line-by-line OASIS review. <strong>The training is scheduled for Thursday, July 29, 2021 from 8:00 a.m. &#8211; 4:30 p.m<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Registration will be open until Wednesday, July 28, 2021 and will be available on the Co-Train link listed below.<\/strong><\/p>\n<p><a href=\"https:\/\/www.train.org\/main\/admin\/course\/1099141\/live_event\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.train.org\/main\/admin\/course\/1099141\/live_event&amp;source=gmail&amp;ust=1627152316648000&amp;usg=AFQjCNGkqbutCSBW58k4fU3w_WSNoNgLBw\"><strong>OASIS-D1: Line-by-Line Review<\/strong><\/a><\/p>\n<p><strong><u>HCPF-UM Update on PDN\/Pediatric PARs<\/u><\/strong><\/p>\n<p>Amity Healthcare Group reached out to HCPF UM team for an update regarding PDN\u00a0 and Pediatric PARs. According to UM team, \u201ca phased-in implementation of the PDN\/ Pediatric LTHH \u00a0PAR requirement is currently planned to begin on <strong>9\/1\/21<\/strong>.\u201d For additional updates, please continue monitoring for emails from Kepro and\/or Gainwell Technologies as well as\u00a0 the ColoradoPAR website (<a href=\"https:\/\/hcpf.colorado.gov\/par\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/hcpf.colorado.gov\/par&amp;source=gmail&amp;ust=1627152316648000&amp;usg=AFQjCNGS0-XqA3WJtWRLehoP7RMbLKzI2A\">https:\/\/hcpf.colorado.gov\/par<\/a>) .<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong><u>Additional Resources: <\/u><\/strong><\/p>\n<p><strong><u>\u00a0<\/u><\/strong><\/p>\n<p><strong>There is a new Worker\u2019s Compensation carrier in Colorado!<\/strong><\/p>\n<p>Network insurance services, one of the Colorado\u2019s largest insurance brokers, has teamed up with AmTrust Financial to offer an alternative choice of worker\u2019s compensation insurance to Colorado home health care providers.<\/p>\n<p>&nbsp;<\/p>\n<p>AmTrust Financial is a leading writer of workers\u2019 compensation insurance in the United States.<\/p>\n<ul>\n<li>Highly competitive pricing in the Colorado marketplace<\/li>\n<li>Home Health Care companies seeing 20% &#8211; 30% savings.<\/li>\n<li>Flexible payment options and plans<\/li>\n<li>Risk management that understands your business<\/li>\n<li>Experienced claims specialists<\/li>\n<li>Financial Strength \u2013 A.M. best Rating of \u201cA-\u201c (Excellent)<\/li>\n<\/ul>\n<p>Please see attached flyer for additional information .<\/p>\n<p><strong>Amity\u2019s Friday emails (newsletters) will be archived on Amity\u2019s Healthcare Group website at <\/strong><a href=\"https:\/\/staging.amityhealthcaregroup.com\/resources\/\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/staging.amityhealthcaregroup.com\/resources\/&amp;source=gmail&amp;ust=1627152316648000&amp;usg=AFQjCNFeIvxgyhj4W8kHQ2NvizMfhR4aYQ\"><strong>https:\/\/staging.amityhealthcaregroup.com\/resources\/<\/strong><\/a><strong>\u00a0 under Weekly Newsletter section.<\/strong><\/p>\n<p>Please do not hesitate to reach out for any assistance or questions via email, phone or website at\u00a0 <a href=\"https:\/\/staging.amityhealthcaregroup.com\/resources\/\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/staging.amityhealthcaregroup.com\/resources\/&amp;source=gmail&amp;ust=1627152316648000&amp;usg=AFQjCNFeIvxgyhj4W8kHQ2NvizMfhR4aYQ\">https:\/\/staging.amityhealthcaregroup.com\/resources\/<\/a><\/p>\n<p><strong><em>If you wish to forward this email to your colleague or friend, please feel free to do so. If you received this message as a forward, we invite you to subscribe to our communications at <\/em><\/strong><a href=\"https:\/\/staging.amityhealthcaregroup.com\/\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/staging.amityhealthcaregroup.com\/&amp;source=gmail&amp;ust=1627152316648000&amp;usg=AFQjCNFhVwmKJRPmXKj-M2ChzaGuPLVNYw\"><strong><em>https:\/\/staging.amityhealthcaregroup.com\/<\/em><\/strong><\/a><strong><em> (look for \u201cSubscribe to Listserv\u201d in the top corner). If you wish to unsubscribe from this email distribution list, please email to <\/em><\/strong><a href=\"mailto:eg@amityhealthcaregroup.com\"><strong><em>eg@amityhealthcaregroup.com<\/em><\/strong><\/a><\/p>\n<p><em>Thank you,<\/em><\/p>\n<p><em>Irina Gorovaya, RN BSN, MBA<\/em><\/p>\n<p><em>\u00a0<\/em><\/p>\n<p><em>Amity Healthcare Group, LLC<\/em><\/p>\n<p><em>Home Health Consulting, Education and Outsourcing Services <\/em><\/p>\n<p><em>720-353-7249 (cell)\u00a0\u00a0 <\/em><em>303-690-2749 (office)\u00a0\u00a0 <\/em><em>720-398-6200 (fax)<\/em><\/p>\n<p><a href=\"mailto:dordway@accesscaresolutions.com\">www.amityhealthcaregroup.com<\/a><\/p>\n<p>&nbsp;<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Thank you to everyone who stopped by our booth at Home Care Association of Florida 32nd Annual Conference! &nbsp; The conference was a success! For the recording of our presentation on \u201cPractical Guide to Home Health Competency Program,\u201d please go to: https:\/\/youtu.be\/lprePwkQl-k Amity Healthcare Group Consulting Services Amity Healthcare Group is providing continuous support to [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[209],"tags":[],"class_list":["post-6745","post","type-post","status-publish","format-standard","hentry","category-weekly-newsletter"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Issue date: July 23th, 2021 - Amity Healthcare Group<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/staging.amityhealthcaregroup.com\/?p=6745\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Issue date: July 23th, 2021 - Amity Healthcare Group\" \/>\n<meta property=\"og:description\" content=\"Thank you to everyone who stopped by our booth at Home Care Association of Florida 32nd Annual Conference! &nbsp; The conference was a success! For the recording of our presentation on \u201cPractical Guide to Home Health Competency Program,\u201d please go to: https:\/\/youtu.be\/lprePwkQl-k Amity Healthcare Group Consulting Services Amity Healthcare Group is providing continuous support to [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/staging.amityhealthcaregroup.com\/?p=6745\" \/>\n<meta property=\"og:site_name\" content=\"Amity Healthcare Group\" \/>\n<meta property=\"article:published_time\" content=\"2021-07-23T18:51:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-07-04T12:07:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/staging.amityhealthcaregroup.com\/wp-content\/uploads\/conference.png\" \/>\n<meta name=\"author\" content=\"djordjejovanovic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"djordjejovanovic\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/staging.amityhealthcaregroup.com\\\/?p=6745#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/staging.amityhealthcaregroup.com\\\/?p=6745\"},\"author\":{\"name\":\"djordjejovanovic\",\"@id\":\"https:\\\/\\\/staging.amityhealthcaregroup.com\\\/#\\\/schema\\\/person\\\/7a4a3f9c6660ca3c0e4f03a594354657\"},\"headline\":\"Issue date: July 23th, 2021\",\"datePublished\":\"2021-07-23T18:51:07+00:00\",\"dateModified\":\"2025-07-04T12:07:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/staging.amityhealthcaregroup.com\\\/?p=6745\"},\"wordCount\":1382,\"publisher\":{\"@id\":\"https:\\\/\\\/staging.amityhealthcaregroup.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/staging.amityhealthcaregroup.com\\\/?p=6745#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/staging.amityhealthcaregroup.com\\\/wp-content\\\/uploads\\\/conference.png\",\"articleSection\":[\"Weekly Newsletter\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/staging.amityhealthcaregroup.com\\\/?p=6745\",\"url\":\"https:\\\/\\\/staging.amityhealthcaregroup.com\\\/?p=6745\",\"name\":\"Issue date: July 23th, 2021 - 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