Additional Documentation Requests, or ADRs, can be confusing and difficult. This cheat sheet is a helpful tool in identifying the important elements and requirements of the ADR process. It also includes an ADR worksheet to help you through the process.
This cheat sheet is available in both printed and digital download format.
A reference guide on how your agency can help with ACP conversations.
This cheat sheet contains useful information in the areas of communication, safety, behavior management and caregiver issues. CMS guidelines will assist clinicians in care planning and proper documentation. It provides clinicians and support staff with quick tips when caring for the Alzheimer’s/ Dementia patient.
This product will assist with Hospice Coding to ensure compliance according to Coding Guidelines and Standards while supporting the terminal diagnosis on your plan of care.
A tool to help increase the comfort & safety of your patients.
Do your patients and their loved ones have questions about in-home care? Do they understand the options for alternate living arrangements? This easy to follow guide will be a great tool for your staff to have readily available to all your patients. It walks through different options so they’ll be able to make the best choice for optimum care.
A request from CERT can be a confusing and difficult process. The CERT: Comprehensive Error Rate Testing cheat sheet is a helpful tool in understanding the CERT request process and identifying the important elements and requirements. It also includes tips to help you through the process.
The Super Bundle includes our entire collection of over 70 laminated or electronic, full-color cheat sheets. Includes the Home Health, Quality Measures, CoPs, A&P Series and Hospice Cheat Sheets and both Quick Glances. ($2100 value)
This two page cheat sheet includes a brief discussion of overall function of this system with color diagram. It also includes discussion of Myocardial Infarction (STEMI & NSTEMI) and Cerebral vascular disease. Each is accompanied with color diagrams and ICD-10-CM coding tips.
This waiver cheat sheet has home health and hospice-specific waivers established during the COVID-19 Public Health Emergency. Virtually all waivers have a reference to the regulation and guidance as to which agency department is affected.
This cheat sheet bundle has vital tools for interpreting and implementing the new Conditions of Participation for home health. Our industry experts have done the work for you!
This tool takes a closer look at the new home health Conditions of Participation 484.70 Infection Prevention and Control and 484.80 (h) Home Health Aide services. Understanding what must be done for each and the timelines of these requirements is essential. Also included are suggested policies, if needed for these.
A tool that decodes the new Conditions of Participation & focuses on patient notices and deadlines.
This cheat sheet focuses on the Review and Revision of the Plan of Care CoP 484.60(c) and Coordination of Care CoP 484.60(d). These topics interpret required physician, caregiver and patient communication regarding the patient’s health status, education and care plan.
A tool w/ a list of medications, a sleep cycle chart, & possible causes.
A reference guide for overall functions, common conditions & coding tips
Did you know that CMS’ Final Rule for Critical Care Hospitals was implemented on 11/29/19? This Final Rule affects post-acute providers including home health agencies. Our new tool, Discharge Planning Rule: Home Health, details what is required of hospitals as well as home health agencies in regard to discharge planning.
A reference guide w/ suggestions for additional information to achieve the best codes.
This cheat sheet highlights the essentials of home health and hospice management of their emergency preparedness plan as it relates to civil disobedience. A sample risk assessment is included.
A new coronavirus, called COVID-19, has made its way from China to the US and is now a pandemic. In order to protect the safety of staff and patients, home health and hospice agencies should analyze their own risk and prepare their staff. This cheat sheet contains facts known at the time of publication, suggestions for staff and patient education, screening tool elements, and suggested documentation for your Emergency Preparedness Plan.
This cheat sheet is available for instant download upon purchase.
An overview of the system w/ color diagrams & coding tips
A tool to understand regulatory requirements w/ facts, tips, exceptions & special circumstances.
A reference guide explaining the hospice specific requirements of F2F.
A reference tool w/ a list and descriptions of new G codes.
An overview of the system with color diagrams, chronic issues, & tips.
(M2401) Intervention Synopsis is collected at Transfer and Discharge…however, thorough assessment and appropriate care planning for its 6 problem-specific “best practice” processes begins at SOC/ROC. This cheat sheet uses color coding to demonstrate the relationship between each row of M2401 and its associated best practice interventions. Set yourself up for success!
A guide for nurses aid best practices w/ tips, abbreviations, responsibilities, & more.
A tool to aid in compliance with regulations for HHCCN, ABN, & NOMNC.
The Home Health Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey scores are publicly reported, therefore, likely used as a comparison tool for potential patients/referral sources. Knowing where to educate your staff is key in improving patient experience as well as pay for performance reimbursement. This facts-at-your-fingertips cheat sheet details the most important components of the survey including patient experience questions, FAQs, tips for success and scoring measures.
This valuable bundle includes over 44 full color cheat sheets from the Home Health series.
A tool to help achieve accurate data collection for optimal quality measures
The Centers for Medicare & Medicaid Services issued its calendar year 2021 proposed rule for the home health prospective payment system. CMS estimates that Medicare payments to home health agencies in CY 2021 would increase by 2.6%, or $540 million, compared to CY 2020.
The rule proposes only slight changes to the payment system. Some of the modifications are recognition of new telehealth activity related to the COVID-19 public health emergency. No changes will occur with the CY 2020 case-mix weights and payment thresholds used for LUPAs.
An overview of PAE’s role in state survey protocols w/ tips for accurate OASIS
The CMS definition of homebound w/ non-homebound indicators & tips on documentation.
A quick reference for accurate billing.
This valuable bundle includes all 20 cheat sheets from the Hospice series ($520 value) in electronic or printed format.
Let this hospice specific cheat sheet guide you in the right direction to avoid costly denials and make sure your agency is adequately prepared.
This cheat sheet outlines the five additional items required on the Hospice Election Statement and the new form, Patient Notification of Hospice Non-Covered Items, Services, and Drugs addendum. These changes go into effect for all hospice elections on or after October 1, 2020 and are conditions for payment.
This cheat sheet is a quick reference for the best practices when your hospice patient needs General Inpatient (GIP) Care.
A tool for commonly used diagnoses & tips to avoid errors.
The HIS is a set of data elements that can be used to calculate nine quality measures in hospice care. This cheat sheet describes the types of errors, sample descriptions and possible causes for the error. This product is available in a printed or digital download format. One download per digital purchase.
A tool to understand, how, where, why and status of person injured.
Effective April 2019 Home Health Compare, the QoPC Star Rating quality measures replaced the “Drug Education on All Medications Provided to Patient/Caregiver” process measure with the “Improvement in Management of Oral Medications” outcome measure. Take advantage of this cheat sheet to dig deeply into OASIS item M2020 – optimize this important outcome measure!
Management of influenza is more important than ever during the COVID-19 pandemic. See the 2020-2021 influenza guidance here.
An anatomy & physiology overview of this system with a color diagram as well as tips & codes
A tool for using ICF language in clinical records
Facts & tips to ensure proper coding for medical necessity
A tool to help in an appeal of a denial and how to avoid them in the future
A reference guide for decoding medical terminology w/ prefixes and suffixes
A guide to the latest changes and how they impact your agency
Includes color diagrams of the adult skeleton and muscular systems. Describes the functions of this system. Curvature of the spine, osteoporosis, and fractures are included with ICD-10-CM coding tips.
This two page cheat sheet give you an overview of the nervous system with illustrations. It also provides a discussion of common home health conditions related to the nervous system and ICD-10-CM coding tips.
A quick reference cheat sheet to improve patient care w/ wound care, pain management, nutrition & more
Charts & guidelines to assess and alleviate these issues.
This cheat sheet addresses deletions and changes in the Pressure Ulcer items, changes in the publicly reported pressure ulcer Outcome Measure (calculated in OASIS-D with M1311 instead of M1313), and includes a table to help answer the question required by M1311 at Discharge, “Was this pressure ulcer that is present at Discharge also present at the most recent SOC/ROC?”
OASIS-D1 is the new data set to be used beginning January 1, 2020. With PDGM also beginning on that date, home health agencies need to know how to transition to this new OASIS. This cheat sheet includes the new optional items as well as how agencies will manage re-certifications at the end of 2019.
OASIS-D1 is the new data set to be used beginning January 1, 2020. With PDGM also beginning on that date, home health agencies need to know how to transition to this new OASIS. This cheat sheet includes the new optional items as well as how agencies will manage recertifications at the end of 2019.
This six page tool outlines the changes from OASIS-D1 to OASIS-E, including the deleted, changed, and newly added items to standardize assessments and reporting data across the post-acute space. Understanding these changes is essential for education of staff and collecting and reporting accurate data.
This two page cheat sheet includes overall function of this system with a detailed diagram of the eye. Discussion of three common eye conditions frequently seen in home health and ICD-10-CM coding tips are included.
Tool to help properly assess & treat pain w/ flow sheet, medications & dosing quantities
Home health billing, as we know it, will undergo a dramatic change on January 1, 2020. The financial viability of home health agencies is dependent on preparation and implementation of new billing processes. The PDGM: Agency Billing Cheat Sheet will help your billing staff understand the changes on the horizon. This cheat is an essential tool for your personnel who perform agency billing.
Clinical groups is an important aspect of the establishment of the Medicare home health patient’s reimbursement under Patient Driven Groupings Model (PDGM). This cheat sheet describes the groupings under PDGM and expected reimbursement for each group with important tips on coding to ensure accurate reimbursement.
PDGM has added some twists and turns to the coding process. Agency leadership, clinicians, and coders need to have a thorough understanding of the primary and secondary codes to ensure success. This tool contains the comorbidity diagnoses eligible for case-mix adjustment and will help take some of the mystery out of the coding process.
PDGM introduces a new method of comorbidity adjustment to the case-mix calculation for payment. This cheat sheet is essential for home health managers, clinical staff and coders. It explains the process, provides useful tips, and details which diagnoses codes apply to the designed comorbidity groups and where they fall into the low and high categories.
Functional impairments is another component of payment adjustment under PDGM. Seven OASIS items – M1800-M1860 and M1033– determine how many PDGM points are received. Functional assessment is commonly underscored by assessing clinicians. OASIS accuracy is more important than ever. This Functional Impairments cheat sheet explains the generation of points and gives tips for patient assessment.
LUPA (Low Utilization Payment Adjustment) undergoes a major change with PDGM. The newly proposed LUPA thresholds will range from 2-6 visits within each 30-day period. Experts predict this one change will be a major stumbling block for home health agencies in 2020. This tool guides you through the LUPA maze and provides an audit tool to begin analyzing your current patients as you get your agency ready for PDGM.
The PDGM: OASIS Guidance for Functional Impairment Assessment cheat sheet has detailed OASIS guidance for the completion of the eight items that contribute to the Functional Impairment payment adjustment. Accuracy of OASIS assessment of these specific items is vital to home health agencies under the new payment system beginning in January 2020. The guide is perfect for clinicians who complete OASIS assessments. A “Test Your Knowledge” section is useful for agencies to ensure clinicians have a good understanding of the many aspects of each OASIS item.
This cheat sheet will guide you through the Wound Clinical Grouping, the highest reimbursing clinical group under PDGM. Not only will clinical managers glean important information on this clinical group, but clinical staff will benefit from a concise description (with pictures) of pressure ulcers and non-pressure wounds characteristics.
Useful templates, interviewing techniques, management guidelines & hospice note.
A quick reference that identifies medication side effects that effect outcomes.
An outline of the process of billing CMS for supervision of an agency or patient.
The Patient-Driven Grouping Model is set to go into effect January 1, 2020. Utilize this comprehensive tool to navigate the PDGM by understanding the payment system, admission and timing, comorbidity adjustments, therapy utilization and how PDGM differs from PPS. Our cheat sheets are full-color and laminated in an easy to understand format for employees on the go.
ADRs are a confusing process! FMS has bundled 2 of our most popular cheat sheets to help navigate the ADR response process.
A quick reference for addressing the elements of QAPI
These 7 cheat sheets give you an introduction to the OASIS Process & Quality Measures and help your staff understand how to implement quality care and best practices regarding Process and Quality Measures.
Details the common reasons for recert & the requirement for the Physician Recert Statement.
Tips to recruit and retain excellent staff using multiple methods.
On October 29, 2020, CMS finalized in the CY 2021 Home Health Final Rule that home health agencies will receive zero percent payment from RAPs and will be phased out by 2022. Further, additional requirements and penalties will be implemented. This tool outlines the phase out process, penalties, billing tips, new requirements and includes a RAP submission checklist. Available in printed or digital format.
One download allowed per digital purchase.
This two page cheat sheet includes an overview of this system with color diagrams. It also includes a discussion of common pulmonary diseases with illustrations and ICD-10-CM coding tips.
Review Choice Demonstration (RCD) is a five-year demonstration project for home health agencies targeting to fight fraud and abuse in the Medicare home health program. Five states are designated to participate in the demonstration—Illinois, Ohio, Texas, Florida, and North Carolina. This cheat sheet is a helpful tool for identifying the important elements and requirements of RCD and includes tips to help prepare your agency.
Helps evaluate the 9 key areas that affect star rating w/ specific tips for the 5 outcome items
The Quality of Patient Care Star Rating cheat sheet highlights the publicly reported rating published on Home Health Compare beginning July 2015. Features of this product include an overview of the included measures and a unique Map to the Stars which graphically displays Star Rating concepts of (1) quality episode, (2) OASIS items are collected at the start and at the end of a quality episode, and (3) the list of quality measures that are calculated at Transfer as compared to those calculated at Discharge.
This comprehensive survey readiness cheat sheet includes topics for all staff from clinical to clerical and gives insight to the areas surveyors are scrutinizing most heavily. In an easy to read format, this tool can be purchased printed or as a digital download.
An aide for therapists completing OASIS w/ tips for verbal order.
Tools and tips for consistency of care and & assessment of treatment.
A multipurpose tool designed to allow physical therapists to manage PT and OT visits.
A guide to ensure clinicians are asking the right questions for therapy indicators.
A quick reference to the latest therapy regulations w/ goals, G-codes and more.
A guide through the updated rules for stable/non-stable glycemic control patients.
A quick reference w/ goals, scoring methods, measures & payment model
A tool to evaluate your assessment w/ response specific tips for VBP
A reference for wounds by type, assessment strategies & healing processes.
A quick reference for common Z codes for any coder
Home care can be tricky and you simply can't afford to make mistakes. Through our auditing services, we will provide you with a snapshot of how your agency adds up in each of our specialized auditing areas. Our audit services include a private coaching session with one of our experts explaining the findings. Let MAC Legacy help you find areas for improvement and opportunity.
Our Auditing Services Include:
Mock Audit and Consulting Services
Today's demands on home health/hospice administrators are greater than ever with Medicare cuts and new protocols. With a comprehensive on-site evaluation of your agency, MAC Legacy can assist in building on your staff's strengths and recognizing your weaknesses through customized training and consulting. Our experienced staff will offer solutions and recommendations that will result in improved quality of care, cost-effective strategies and increased efficiencies.
Contact Us for more information
Under the current reimbursement system, there are no margins for error. MAC Legacy the solution for accurate home care and hospice coding, sequencing, and optimal reimbursement. By partnering with an industry-leading service, your field staff and case managers will have more time to focus on quality patient care and proper documentation. Coding-To-Go gives your agency access to Certified Home Care & Hospice Coding Specialists (HCS-D & HCS-H), who are audited for accuracy.
Benefits of Coding-To-Go:
How to get started:
Have a dedicated coding staff? We've got your covered on sick days, vacation days, and influx of high volume. Let MAC Legacy help you with all your outsource coding needs!
Welcome to the FMS Online University!
FMS Online University gives you the opportunity to choose from our ever-expanding online library. Our online education offers flexibility for your field clinicians to have access to education on demand.
FMS online training offers a comprehensive library providing training and education to most disciplines. You can choose online training to review a topic, to investigate a new specialty, or to gain in-depth knowledge. Training is rated by degree of difficulty and some are offered in a series.
Link to FMS University here!
Does the majority of your staff need training? Let FMS come to you. Drawing from decades of experience, our team of experts provide onsite training in a wide variety of subject areas. This customizable education option is as cost-efficient as it is convenient.
Sample topics include:
Interested in having FMS teach at your site? Ask us how.