The Homecare Administrator’s Field Guide, Third Edition

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The Homecare Administrator’s Field Guide, Third Edition

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The Homecare Administrator’s Field Guide, Third Edition

Robert W. Markette

The Homecare Administrator's Field Guide, Third Edition, is the must-have resource for new and veteran home health administrators. Running a home health agency has never been more challenging. Every year brings new regulations, and you need best practices for staying compliant with ALL of them, including updated Conditions of Participation (CoP), new QAPI requirements, star ratings, OASIS-D, and annual PPS updates—and that’s just the tip of the iceberg.

This book provides a strategic breakdown of the organizational structure of a home health agency and explains the administrator’s role in operations, human resources, financial management, OASIS, payment, public reporting, and regulatory compliance. Sprinkled with CMS citations so you know exactly where the guidance is coming from, this book can aid an administrator or department manager in creating new and more efficient programs.

Written by expert Robert W. Markette Jr., home health attorney for Hall, Render, Killian, Heath & Lyman, PC, this one-stop guide helps you save time by clearly and concisely covering all of the duties and responsibilities of home health administrators. It includes lessons learned from the field and special home health considerations.

What’s new:

  • Surveyor focus areas related to the CoPs
  • Primer on CMS’ proposed new home health payment system – Patient-Driven Groupings Model (PDGM)
  • Status of CMS’ pre-claim review that has started back up  
  • Update on OASIS-D

This book will help you: 

  • Get an understanding of home health CoPs and upcoming regulations, including PDGM
  • Comply with homecare regulations and Medicare reimbursement guidelines through easy-to-understand descriptions and analyses
  • Find the office staffing level that best fits your agency’s needs
  • Save time and increase productivity with chapters devoted to supervising and training staff more efficiently
  • Increase referrals and generate business by implementing a management system that ensures quality and patient satisfaction
  • Develop the financial savvy and confidence to effectively manage budget responsibilities

Table of Contents:

Introduction

Chapter 1: Home Health and the Continuum of Care 
The History of Home Care 
Home Health Care Today: Opportunities and Challenges 
The Specialty of Home Health Care 
Home Health Administrator Role

Chapter 2: Home Health Personnel 
Management Personnel 
Non-Management Personnel 
Personnel Policies 
Special Issue: Discipline and Discharge 
Employment Laws 
Employee Health Requirements 
Compensation Models

Chapter 3: Management Agency and Structure 
Business Structure 
Boards and Fiduciary Duties 
The Importance of Committees 
Compliance 
Leadership and Groups 
Ethical Issues

Chapter 4: Quality Assessment and Performance Improvement 
The Agency’s Quality Program 
The Foundation of QAPI 
Home Health Compare 
Clinical Record Review 
QAPI Final Thoughts

Chapter 5: Policies and Procedures 
Writing Policies and Procedures 
Required Policies 
Procedures 
The Effects of Various Laws

Chapter 6: The Regulatory Environment 
Understanding the CoPs 
Understanding and Applying the Interpretive Guidelines 
Accreditation Standards 
State Licensure Requirements and Regulations 
MedPAC 
Agencies and Audits

Chapter 7: The Survey 
The Medicare Home Health Survey Process 
Survey’s Over: Now What? 
Challenging the Survey 
Survey Preparation 
Top Home Health Citations

Chapter 8: The Payment Environment 
Medicare Home Health Prospective Payment System 
Common Medicare Pitfalls 
Medicaid 
Veterans Affairs 
Commercial Insurance 
Billings and Collections

Chapter 9: OASIS 
The OASIS Data Set 
OASIS Training and Education 
OASIS and the Relationship With Quality and Reimbursement

Chapter 10: Finance and Budgeting 
Accounting System 
The Budget Process

Chapter 11: Lessons and Tips From the Trenches 
Lessons Learned: Common Mistakes