Medicare Blog

what is improving medicare post acute care transformation act and home health

by Kennith Batz Published 2 years ago Updated 1 year ago
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On October 6, 2014, the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act) was signed into law. The Act requires the submission of standardized data by Long-Term Care Hospitals (LTCHs), Skilled Nursing Facilities (SNFs), Home Health Agencies (HHAs) and Inpatient Rehabilitation Facilities (IRFs).

The Act intends for standardized post-acute care data to improve Medicare beneficiary outcomes through shared-decision making, care coordination, and enhanced discharge planning.Dec 1, 2021

Full Answer

What does the Improving Medicare Post-Acute Care Transformation ACT mean for it adoption?

The Improving Medicare Post-Acute Care Transformation Act, which mandates electronic sharing of standardized patient data by post-acute care clinical settings, will likely spur further health information technology adoption and evaluation.

Which post-acute care settings are covered by the impact Act?

The IMPACT Act mandates the collection and reporting of standardized data in the following post-acute care settings: Long-Term Care Hospitals (LTCHs), Skilled Nursing Facilities (SNFs), Home Health Agencies (HHAs) and Inpatient Rehabilitation Facilities (IRFs). Specific information about each setting and reporting tools can be found at:

What does the impact ACT mean for Post-Acute Assessment data?

In addition, the IMPACT Act requires assessment data to be standardized and interoperable to allow for exchange of the data among post-acute providers and other providers. The Act intends for standardized post-acute care data to improve Medicare beneficiary outcomes through shared-decision making, care coordination, and enhanced discharge planning.

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How can post-acute care be improved?

5 keys to effective post-acute care managementBuild strong relationships with post-acute providers. ... Identify the right site of care first, and coordinate care better. ... Embrace data analytics. ... Engage patients, their families and caregivers. ... Use technology to foster communication.

What is the goal of post-acute care?

Post-acute care aims to promote the functional recovery of older adults, prevent unnecessary hospital readmission, and avoid premature admission to a long-term care facility.

What is the post-acute care transfer policy?

Transfers to a Home with Home Health Services Medicare's IPPS post-acute care transfer policy requires hospitals to apply the correct discharge status code to claims where patients receive HH services within 3 days of discharge. This includes the resumption of HH services in place prior to the inpatient stay.

What are examples of post-acute care?

Here are some examples of post-acute care services: Skilled nursing visits, physical therapy sessions, occupational therapy sessions, speech and language pathology evaluations or treatments, medical social worker support, personal care from nurses or aides.

How does acute care help or benefit the community?

When acute care is within close reach, it eliminates the need for long journeys to receive medical attention, drastically improving patient outcomes. While patients see the greatest benefits of having local access to acute care, it's also good for the community overall.

What does condition code 43 mean?

Condition Code 43 may be used to indicate that Home Care was started more than three days after discharge from the Hospital and therefore payment will be based on the MS-DRG and not a per diem payment.

Can patient status be changed after discharge?

Observation to Inpatient - Retroactive This is for changing an Observation patient to a full Inpatient admission back to the time of admission (UR or error on admission tells staff to make this change). Note: This can only be done while the patient is still admitted and cannot be altered once patient is discharged. 1.

What does condition code 42 mean?

• Condition Code 42 - used if a patient is discharged to home with HH services, but the continuing care is not related to the condition or diagnosis for which the individual received inpatient hospital services.

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