We have assisted well over 1,200 Senior Care Agencies with the completion of the CMS 855 A Medicare Application and Medicare Accreditation process. We complete your Senior Care Agency’s CMS 855 A Medicare Application and paperwork requirements. The recent and ongoing changes to licensing standards and regulatory requirements can make the completion of the CMS 855 A Form challenging. At 21st Century Health Care Consultants, you provide us the Medicare Application information required, we do the rest; its that simple. We complete your CMS 855 A Medicare Application and include the required Civil Rights Package for your State. We offer a full Senior Care Medicare Accreditation Program, we will get your Senior Care Agency Medicare Accredited, no question.
Let our experts complete the CMS 855 A forms and walk you through the Medicare Accreditation process. We have a long list of references and have been in business for over 19 years. 21st Century Health Care Consultants will help you open a Senior Care Agency and get you Medicare Accredited. If you are an existing Senior Care Agency, we will provide you with the required Senior Care Policies and Procedures and hold your hand through the entire Medicare Accreditation process providing lifetime training and consultation for as long as you are in business.
CMS 855 A Medicare Application: The Medicare System
The CMS (Center for Medicare Services) brought about a historical change in senior care in 2000 when they introduced OASIS ( Outcomes and Assessment Information Set). This OASIS document has given us the opportunity to do the right thing for our patients. We use it to assess the condition of this whole person. We can then treat this whole person because we know all of his systems, all of his needs, all of his comorbidities that may affect his healing. We no longer treat one symptom. Oasis helps us to be aware of how we make a difference.
Oasis shows the nation in Home Health Compare on the internet how we have helped patients have less pain, have less shortness of breath, can be more independent with medications, heal wounds, and stay out of the hospital. Oasis shows Medicare the condition of our patient so they can use the payment system to provide us with a budget to take care of our patient.
PPS (Perspective payment system)
is the complex governmental system to ensure we have financial reimbursement to meet the needs of each specific patient. The Oasis questions give us clinical points, functional points and service points which fit into tables of payment. The government does want us to take care of people. It also wants to protect our taxpayers from fraud.
Is this patient eligible to receive senior care services paid for by Medicare? Is he homebound? Is there a skilled need? Are the visit needs intermittent? Is home health the reasonable and necessary way to care for this patient? Does this patient have a residence? Does he have a physician? Did you learn in Kindergarten to follow the rules? Everything goes better when we know the rules and follow them. Medicare has given us a great list of rules. These COP’s (Conditions of Participation) are made to protect our patients, and their rights. They also give us guidance to run our agencies. We can follow the rules and have qualified staff, have legal protection with physician orders, have clinical records with great documentation. When the surveyor comes to visit we need to show her that we follow the rules. If we are following the rules we get a good report card with no G tags which we will be proud to put up on the refrigerator just like the good old days.
What is Medicare?
The Medicare Program is administered by the federal government of the United States of America. Medicare guarantees access to health insurance for Americans ages 65 and older as well as Americans disabled for longer than 2 years.
In 1965, Congress created Medicare to provide health insurance to these individuals, regardless of income or medical history.
In 1972, Congress expanded Medicare eligibility to include any American that has suffered permanent disability and receive Social Security Disability Insurance (SSDI) payments as well as those who have end-stage renal disease (ESRD).
In 2001 the program was extended to cover any American with ALS (Lou Gehrig’s disease).
In 2010, Medicare provided health insurance to 48 million Americans—40 million people age 65 and older and eight million younger people with disabilities. Medicare serves a large population of old, sick, and low-income people. Without Medicare, many of these people would not have access to health insurance.