CY2024 Home Health Final Rule: VBP

[3817] CY2024 Home Health Final Rule: VBP
What’s now and what’s new?

Presentation Info:

• TAHC&H Event Administrator Conference | Rich-Media Presentation Capture | Online On-Demand Access
• Presentation Date | November 8, 2023

Program Description: What’s now and what’s new? The TNC is currently 17.5% of the Total Performance Score of VBP, but CMS is implementing drastic changes. Even though CMS is omitting the TNC from its programs and replacing it with the Discharge Function score, the TNC scores are still important through payment year 2026. Now is the time to ramp up for the first performance year for Discharge Function, so learn what your plan should be for 2024. ACH and ED Use claims data currently comprise 35% of your Total Performance Scores. Even though your ACH and ED Use scores are being jettisoned in favor of the new PPH, the ACH and ED Use will still impact your payment until 2026. New to VBP are the PPH and the Discharged to Community (claims-based) quality measures, which together will comprise 35% and will require some adjustments in your Performance Improvement Programs. PPH will include hospitalizations (both ACH and LTCH) and observation stays. The DTC measure will include readmissions for up to 31 days after discharge. Lisa discusses what actions can be taken now to improve those numbers.

HCSSA Topic(s) Addressed:

• §558.259[d][4]agency responsibilities
• §558.260[a][3]basic principles of management in a licensed health-related setting
• §558.260[a][7]financial management

Education-Training Credits:

• TX HCSSA Administrator/Alternate Continuing Education
• 1.0 Clock Hr(s)

TAHC&H Faculty/Presenter(s): Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C, McBee

About the Presenter(s): Lisa Selman-Holman brings more than 35 years of experience in the home health & hospice industry, specializing in regulatory compliance, both as an RN and a home care attorney. Lisa founded Selman-Holman & Associates and CoDR (Coding Done Right), a coding outsource and audit company in 2004. Lisa has a wide range of regulatory experience in home health and has served on numerous committees and task forces. Selman-Holman was recently acquired by McBee in July 2021. In her role as VP of Education and Quality, Lisa leads the quality audit team to ensure the highest-level of accuracy in coding and clinical documentation internally at McBee and externally for clients nationwide. She will expand McBee’s educational offerings, including live events and on-demand online trainings through the McBee Post-Acute Academy.

[3817] CY2024 Home Health Final Rule: VBP