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2011 Homecare Changes: Strategies for the Future

Arnie Cisneros, P.T., President of Home Health Strategic Management
Home Health faces many challenges as a result of the latest refinements to the homecare model. Audit scrutiny from numerous CMS contractors, combined with sweeping modifications identified in the PPS Proposed Rule for 2011, will alter how agencies and clinicians identify and deliver in-home care in the near future. The newely revised concept of qualified care will modify and re-define acceptable protocols for Home Health: reasonable and necessary requirements will be the basis for coverage, and the working definition of how this is applied to care programs will be required for claim approval. In addition, decreases in funding and alterations in case-mix methodology, both seen in the proposed PPS Rule for 2011, will increase the need for escalated clinical control in homecare programming.

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