Where To Report Waste

Fraud, Abuse, Or Retaliation

Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients

Submitting OIG:

Department of Health & Human Services OIG

Date Issued:

Tuesday, September 5, 2023

Agency Reviewed / Investigated:

Department of Health & Human Services

Submitting OIG-Specific Report Number:

OEI-05-22-00290

Component, if applicable:

Centers for Medicare & Medicaid Services

Centers for Medicare and Medicaid Services

Location(s):

United States

Type of Report:

Inspection / Evaluation

Questioned Costs:

$0

Funds for Better Use:

$0

Number of Recommendations:

4

Report updated under NDAA 5274:

No

View Document:

Attachment	Size
OEI-05-22-00290.pdf	2.18 MB

Related Open Recommendations

Recommendation Number	Recommendation Status	Significant Recommendation	Additional Details
23-E-05-039.01	Open	No
CMS should take steps to ensure the completeness and accuracy of the HHA-reported OASIS data used to calculate the falls with major injury quality measure.
23-E-05-039.02	Open	No
CMS should ese data sources, in addition to OASIS assessments, to improve the accuracy of the quality measure related to falls with major injury.
23-E-05-039.03	Open	No
CMS should Ensure that HHAs submit required OASIS assessments when their patients are hospitalized
23-E-05-039.04	Open	No
CMS should explore whether improvements to the quality measure related to falls can also be used to improve the accuracy of other home health measures.