Bulletin: May 26th, 2020

AT THIS TIME OCHCH IS NOT SCHEDULING ANY WEEKLY PDGM/RCD CALLS.
 
If you have PDGM or RCD QUESTIONS PLEASE SEND THEM TO helpdesk@ochch.org
 
Use PDGM or RCD as the subject title.
 
If you need OCHCH to contact Palmetto GBA regarding a PCR NON-AFFIRMATION,
Please e-mail a short description and the UTN and your provider number.
DO NOT e-mail any info that could be non-compliant with the HIPAA regulations
 
Please check out the toolkits for PDGM and also RCD

NEW: Option to Stay in PCR, Palmetto GBA – For Home Health providers participating in the Review Choice Demonstration (RCD), you will now have the option to keep Pre-Claim Review (PCR) as your review choice for future cycles. This will avoid having to reselect PCR for each selection cycle. Providers can withdraw from this option and still change to another review choice in a future cycle.

New: RCD Tip: PCR Task Signed Documentation, Palmetto GBA – The Medical Review (MR) team has noticed an increased number of providers in Pre-Claim Review (PCR) who are submitting documentation (plan of care, therapy orders, etc.) that are not signed. As a reminder, for tasks 1 through 4, a signature is required. Documents submitted without a proper physician signature will result in a non-affirmation. Oral orders must be countersigned and dated by the physician before the home health agency submits the final bill.

We Are Going Green with RCD Cycle Results eLetters, Palmetto GBA – Palmetto GBA is going green with RCD Cycle Results eLetters. We will send home health agencies their RCD Cycle Results via eLetter in eServices. Please review and share with your staff.

RCD Tip: Using the Correct Provider Transaction Access Number (PTAN), Palmetto GBA – If you are a part of a Home Health Agency (HHA) with more than one location and multiple PTANs, please make sure you are using the correct PTAN when submitting Pre-claim Review (PCR) requests.

Ohio Providers Transition to Review Choice Demonstration (RCD) Cycle Two, Palmetto GBA – Beginning May 1, 2020, you will be able to choose the next round’s review option. Typically, the selection period is open for a two-week period. Due to the current Public Health Emergency (PHE) related to COVID-19, the last day to make a selection has not yet been determined. Palmetto GBA will announce the last day to make a selection as soon as possible on their website and via email update. If you are not signed up for the Palmetto GBA email updates, please visit https://tinyurl.com/GetListserv to sign up.

HOME HEALTH and HOSPICE: IMPORTANT: Please Read this FDA-Required Updated REMS Safety Information, NAHC Report, May 19, 2020--
BLINCYTO
Risk of:
• Cytokine Release Syndrome (CRS), which may be life-threatening or fatal
• Neurological Toxicities, which may be severe, life-threatening or fatal
• Preparation and Administration Errors
The Food and Drug Administration (FDA) has required this safety notice as part of the BLINCYTO® REMS (Risk Evaluation and Mitigation Strategy) to be distributed to the to highlight new safety information about cytokine release syndrome and neurological toxicities. Amgen requests that you distribute the information to your members, informing them about the serious risks of BLINCYTO.
 
HOME HEALTH and HOSPICE: OSHA Revises Coronavirus Reporting Enforcement Policy, NAHC COVID-19 Communication, May 21, 2020--OSHA is revising its previous enforcement policy for recording cases of coronavirus. Under OSHA’s recordkeeping requirements, coronavirus is a recordable illness, and employers are responsible for recording cases of the coronavirus, if the case:

• Is confirmed as a coronavirus illness;
• Is work-related as defined by 29 CFR 1904.5; and
• Involves one or more of the general recording criteria in 29 CFR 1904.7, such as medical treatment beyond first aid or days away from work.

HOSPICE: Hospice Quality Reporting Program: Quarterly Update for January – March, CMS MLN Connects, May 21, 2020--The Hospice Quality Reporting Program (HQRP) Quarterly Update (PDF) for the first quarter of 2020 is available. This update includes highlights, events, planned engagement opportunities, and questions and answers from the Hospice Quality Help Desk. Visit the HQRP Requirements and Best Practices webpage for more information.

HOME HEALTH: Senator: Bill to Reimburse Home Health for Telehealth Services Is Coming, NAHC Report, May 22, 2020-- On Thursday, May 21, 2020, a Senate Special Committee on Aging heard from multiple witnesses testifying to the need for more telemedicine, particularly in the home health setting, prompting committee chair Senator Susan Collins (R-ME) to say “I plan to introduce a bill soon to create a framework to reimburse for telehealth services provided by home health agencies.