Carter Wrenn posted on June 29, 2009 18:17
DHHS to Senator Doug Berger: The review does not show that home care patients are ineligable. Because the 'reviews' did not include a physical examination of a single patient. Read the email below:
From: Gray, Craigan [mailto:craigan.gray@dhhs.nc.gov]
Sent: Fri 6/12/2009 1:31 PM
To: Sen. Doug Berger
Cc: Cansler, Lanier; Feezor, Allen
Subject:
June 12, 2009
Senator Berger:
The first two attachments are the requests and responses. The last three attachments include the summary of the CCME survey where ~41% of surveyed were out of compliance. Keep in mind that of that percentage, some came back in to compliance with proper documentation, some got better and left the program, others moved to other programs, died, or in fact some did not qualify. We are breaking each category down for further analysis presently. The PCS group is anticipating an electronic surveillance tool in the future; however, all metrics are currently manual. I am asking the PCS management group to implement an enhanced metric-based surveillance program as a result of the most recent inquiry to improve the standard of performance from all parties.
I appreciate your interest in the PCS program and we remain available for further questions as needed.
C. Gray, MD
Craigan L. Gray, MD, MBA, JD
Director, Division of Medical Assistance
2501 Mail Service Center
Raleigh, NC 27699-2501
(919) 855-4101 phone, (919) 733-6608 fax
craigan.gray@dhhs.nc.gov
