Posistioning Your Private Duty Agency to Align with Medicare Advantage Providers
The Centers for Medicare and Medicaid Services, CMS, will allow Medicare Advantage plan to offer benefits for private duty home care, including non-skilled in-home support for daily maintenance and activities.
The premise behind this change is that assistance with daily maintenance activities, such as bathing, dressing, and other tasks, can reduce the potential for injury and therefore reduce the utilization of emergency room visits and hospitalizations.
Private Duty agencies will need to demonstrate to Medicare Advantage providers their home care program is a program which aims to deliver high quality care with the same objective; keeping clients safe and in their home environment. Agencies will also need to demonstrate their commitment to sound billing practices as well as the prevention of fraud and abuse.
ACHC Accreditation Standards necessitate the development of a Performance Improvement Plan which can target issues that result in emergency room visits or hospitalizations and implement practices and protocols to reduce precipitating events. The development of a Compliance Program validates an agency’s resilience to fiscal responsibility.
Distinction in Palliative Care
ACHC has recently released a new Distinction in Palliative Care that allows ACHC accredited home health, hospice or private duty agencies to earn additional accreditation for their palliative care program. Join us as we review what palliative care is, the ACHC Distinction in Palliative Care Accreditation Standards, and how this new distinction can benefit your agency!WATCH ON DEMAND