One of the most important factors in managing your non-routine supply revenue is supply management. And that doesn’t just mean how you order supplies and how you use supplies. We're talking about how you're going to get paid for these supplies. Read this expert CMS OASIS article for more information.
Diagnosis coding is extremely important. Without the correct diagnoses, you're also not going to get paid the additional dollars that you need for non-routine supplies.
Wound ostomy nurses really need to be accessed as per the home health guidelines If you're not able to have a wound ostomy nurse or nurses on your staff, it would be really important to access a wound ostomy nurse as a consultant to help review certain types of wounds and to help teach your staff staging techniques and best practices.
Technology is a huge part of the future. We all know that. And there are many, many vendors out there that have documentation of wounds that you can use this automation tool to synthesize that documentation and include it in to your practice.
There are several different types of software that are very specific to wound management. Also, you really need to consider digital imaging if you have not already and using those digital pictures to care for your patient’s wounds so that you know how they are improving.
We all know that improvement in surgical wounds is one of the new pay for performance elements that will be added. It is in the home health demonstration project for pay for performance. So wounds are a big component of PPS and especially for non-routine supplies.
Clinicians really need to understand how PPS works as per the CMS rules. No, we don’t expect our clinicians to go through and identify all the specific points for every patient, absolutely not. But what we do want is for them to understand where the points come from and how that translates into revenue.
The OASIS, now OASIS C, process is critical. And again, you must really take a look at real time OASIS edits if we're going to get through this process. Any agency that has more than say, 60 patients, we are not sure that one individual can keep up with the OASIS review that will be necessary if you do not have some type of tool to assist you in that process.
Looking at healthcare coding accuracy, to give you a little background on this, the diagnosis codes are very specific because CMS is trying to get a handle on supply cost by diagnosis. Home care agencies really haven’t coded well in the past. But we've not really had any incentive to do that, not never before as we do now.
And it's really important that everyone knows that there are only 78 diagnosis codes listed in CMS table 10B for non-routine points and revenue.
It's really important that if your patient has a surgical wound that is not healing and if they have a score on their OASIS at MO48 that there's also a diagnosis to support that because that diagnosis will garner points for both the HHRG and some additional non-routine supply revenue points.
Get more OASIS C information at www.audioeducator.com/hot-topics/oasis-c.html.