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Home Health Agency

Medical Worker Medical Team

Health Services Advisory Group (HSAG) works in collaboration with home health agencies to improve and strengthen the quality of care and patient outcomes within the home health environment.

Review Choice Demonstration for Home Health Services 

Review Choice Demonstration (RCD)
Formerly: Pre-Claim Review Demonstration (PCRD)

Previous CMS experience, Office of Inspector General reports, Government Accountability Office reports, and Medicare Payment Advisory Commission reports, show there is extensive evidence of fraud and abuse in Medicare’s home health benefit. The Review Choice Demonstration establishes a review choice process for home health services to test whether such a process improves methods for the investigation and prosecution of fraud.

The Review Choice Demonstration will be conducted in: Illinois, Ohio, North Carolina, Florida, and Texas. It will apply only to those HHAs located in the states that submit claims to the Palmetto GBA Medicare Administrative Contractor (MAC).

For more complete information, visit the CMS website. Full demonstration details will be available in the Operational Guide published in the "Downloads" section on the webpage.

Extension of Effective Date for the Conditions of Participation (CoP)

The Centers for Medicare & Medicaid Services (CMS) has extended the effective date of the final home health agency (HHA) Conditions of Participation (CoP) rule by an additional 6 months beyond the original July 13, 2017 effective date. The new HHA CoPs are now effective on January 13, 2018. This rule does not make any changes to the policies that were set forth in the final HHA CoP rule. The final rule to extend the effective date (CMS-3819-F2) is available on the Federal Register website.

Care Coordination

BOOST - Better Outcomes by Optimizing Safe Transitions

A National initiative led by the Society of Hospital Medicine to improve the care of patients as they transition from hospital to home.

Enhance Home Health Care Delivery Model

The Enhanced Home Health (EHH) care delivery model provides a minimum of seven touch points to the patient within two weeks of a hospital discharge.

Medicare Initiatives

Home Health Cardiovascular Health Improvement Initiative

In partnership with the Home Health Quality Improvement (HHQI) National Campaign and many statewide home health agency professional membership organizations, Health Services Advisory Group is encouraging home health agencies to join the Cardiovascular Health Improvement Initiative and participate in the Home Health Cardiovascular Data Registry. Details of the programs are included in the following links:

Home Health Quality Improvement

A national campaign dedicated to improving the quality of care provided to America’s home health patients.


Alliance for Home Health Quality and Innovation

AHHQI works to strengthen home health care as a cornerstone of the nation's healthcare system.

Reports and Articles

Joint Commission Transitions of Care

A Report from the Joint Commission on transitions of care and the need for collaboration across the entire care continuum.

Telephone Support

Post-discharge telephonic support has evidenced a reduction in hospital readmission rates. The sooner this type of support is provided to the patient post-discharge, the greater the reduction in readmissions

Tools and Guides

Advance Care Planning

Advance care planning can assist with readmissions by understanding the patient’s care preferences. Home health agencies can initiative these conversations and better understand their patients’ wishes for end-of-life treatment.

Cardiovascular Part 1 Best Practice Intervention Package (BPIP)

An updated version of the BPIP has been released to align with the new blood pressure guidelines (from November 2017). Visit the Cardiovascular Health BPIP site to download the new package: