Quality of care compliance plans under PPS.
With the onset of Medicare home health Prospective Payment System (PPS), home care agencies must retool their internal compliance efforts to address the new risk areas. PPS presents a reversal of the incentives that existed under previous Medicare reimbursement principles, significantly reducing the risk of non-compliance and fraud in the financing of services while dramatically increasing non-compliance risks in areas related to quality of care and access to services.
Dombi
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National Association for Home Care, Washington, DC, USA. wad@nahc.org
D000368:Aged; D003142:Communication; D019983:Guideline Adherence; D018574:Home Care Agencies / Q000592:standards*; D006801:Humans; D008330:Management Audit; D006278:Medicare; D016134:Organizational Policy; D010343:Patient Admission; D010347:Patient Care Planning; D010351:Patient Discharge; D011445:Prospective Payment System / Q000592:standards*; D011785:Quality Assurance, Health Care; D014481:United States