The Expertise You Need for Your Hospice and Home Health to Advance!










Last Update to this page 7/20/2020. Most current news on top. Scroll down for past reports.

7/20/2020: In case your Policies and Procedures don't include all that's required now to protect the rights of ALL people, especially during this COVID-19 Public Health Emergency, see this Office of Civil Rights Guidance on Protections Protecting Race, Color, National Origin Demonstration During COVID-19

6/25/2020: Find the CMS Proposed Rule for CY 2021, including updates to the Home Health Prospective Payment System and details about why it’s proposing “…that Medicare payments to HHAs in CY 2021 would increase in the aggregate by 2.6 percent, or $540 million, based on the proposed policies….” HERE.

5/29/2020: Until further notice, please note that I will focus my support specifically and solely upon assisting hospice company establishment and continuity. Thank you home health care companies for all that you do! If you have questions or needs, feel free to contact me and we'll see what we can do together on an informal and limited basis.


Click here for a well scrutinized and well written summary of the dilemma facing home health companies in this new PDGM environment:

IMPORTANT:   “iQIES will require a new user management system…Medicare certified home health agencies will have to create an account and establish credentials in the HCQIS Access Roles and Profile system (HARP)…Failure to obtain access to iQIES prior to December 23, 2019 will impact your ability to submit assessment data needed for payment purposes,…”  Learn HOW to Create Your iQIES Account Here!!

If you didn't think your Home Health Compare scores will affect your referrals, think again! Effective 11/29/2019, hospitals will be required to provide prospective home health patients with your Home Health Compare information at hospital discharge time!! See the new hospital rule HERE!

Want to know how PDGM will affect your bottom line? Your competetitors? See this easy-to-use Fazzi PDGM Calculator Tool!!

Click HERE to read this “Summary Comparison of the Overall Estimated Financial Impact of PDGM using 2017 and 2018 claims and OASIS Data”,

AND, Click HERE for “… the data elements that drive payment under the Medicare Patient Driven Groupings Model (PDGM)”!

Both provided by the Michigan HomeCare & Hospice Association (MHHA),

the Council of State Home Care Associations, and BKD CPAs & Advisors

MedPAC is questioning Home Health Providers' accuracy in reporting their patients' functional abilities!! IMPORTANT to read HERE.


Impressive stand taken by Senator Rand Paul, defending the rights of citizens/taxpayers to be able to receive care at home. Read about it here!


Here is the "unpublished" CMS  document via the Federal Register describing the now-approved Patient-Driven Groupings Model (PDGM) and multiple other changes in Home Health Payment System. And, here's A Fact Sheet from the CMS Newsroom!


Finally! Here they are, the CMS Home Health Interpretive Guidelines Released in August 2018! 


 BREAKING NEWS! Mary Ann Dekker of ADVANCING YOUR HOSPICE AND HOME HEALTH LLC will be presenting, live and in person, at the Michigan Home Care and Hospice Association (MHHA) Annual Conference THIS WEEK! Mary Ann, who has been working to help hospice and home health companies across the United States to succeed, will explore "Achieving Quality Despite Maintaining Compliance: Resolving the Conundrum" on Wednesday morning, April 25, 2018, at the Amway Grand Hotel in downtown Grand Rapids, Michigan!  Additionally: Beginning in December 2017, the Accreditation Commission for Health Care (ACHC) has put Mary Ann's experience and wisdom to work as an ACHC Hospice Surveyor. Keep Mary Ann in mind to find out how you can prepare your hospice or home health for Medicare survey, whether ACHC, CHAP, Joint Commission, or even if you are seeking certification without accreditation!


Note that the inclusion of Home Health News was initiated here in August 2017,

due to popular demand: I now provide you with my home health consulting services as well as hospice!

Helpful Home Health Quality Reporting Program (HH QRP) Guidelines: Read them HERE to be sure you are in compliance.

Great News!   From CMS Announcement Today, 11/1/2017  :  CMS is not finalizing the Home Health Groupings Model and will take additional time to further engage with stakeholders to move towards a system that shifts the focus from volume of services to a more patient-centered model. CMS will take the comments submitted on the proposed rule into further consideration regarding patients’ needs that strikes the right balance in putting patients first.”

Home Health:  Read the DRAFT Proposed Interpretive Guidelines  HERE , Released on Friday, October 27, 2017!

Effective next week (October 1, 2017) CMS is expanding Targeted Probe and Educate (TPE). Will you win Round 1? See the TPE Flow Chart


Hospices & Home Health Providers under NGS Jurisdiction 6: Here is the LINK to: "The Reason Code Look Up Tool for the Top Claim Errors...


Do you know how to take advantage of  CMS' "Expansion of the One Clinician Convention"?


In case you missed it! The 2018 Home Health Proposed Rule!  See it Here  for yourself, and consider submitting your own comment by 5:00 p.m. ET on September 25, 2017.


Effective January 13, 2018: The New Home Health Conditions of Participation!



Are you moving forward with your policies and procedures, trainings, and table-top and full-scale exercises?  Here are the Interpretive Guidelines for the Emergency Preparedness CoP!  Will you be ready to demonstrate compliance starting this November?


Click Here for the May 2017 CMS Home Health Quality Reporting Program Provider Training Questions-and-Answers Document


CMS Rescinds Proposal Requiring Accrediting Organizations to Publicize Survey Reports & Plans of Correction.pdf



Click Here for the OASIS-C2 2018 Guidance Manual   published on August 11, 2017, to be effective on January 1, 2018!