Home Health Line
08/29/2018
Make identifying patient-specific needs and crafting corresponding measurable outcomes and goals a priority when creating the plan of care. If you don’t, your agency risks survey citations.
08/29/2018
Many home health industry experts believe it’s unlikely CMS will entirely back off launching a Patient-Driven Groupings Model (PDGM) in 2020.
08/29/2018
Coders could be about to receive a boost in productivity thanks to the impending arrival of OASIS-D on Jan. 1, 2019.
08/29/2018
Ensure sound protocols are in place for how to respond when an employee alerts you that your agency may have admitted ineligible patients. And make sure to follow through with those protocols.
08/29/2018
Failing to supply medical records in response to additional documentation requests (ADRs) was Medicare Administrative Contractor (MAC) Palmetto GBA's most common reason for denial of home health claims between April and June 2018, Palmetto data show.
08/29/2018
by: CMS
Through Aug. 24, 2018, the most common condition-level deficiency in 2018 was G0570 (Care planning, coordination, quality of care). It was cited 43 times.
08/22/2018
Analyze your agency’s most commonly used primary diagnosis codes as a first step toward improving coding in preparation for the proposed Patient-Driven Groupings Model (PDGM).
08/22/2018
There’s good news for agencies caught up in the daunting backlog of appeals at the Administrative Law Judge (ALJ) level. The backlog has been reduced by more than 30% since 2017, Modern Healthcare reports.
08/22/2018
Closely review whether your agency submits a final claim every time it submits a request for anticipated payment (RAP). If you recognize you’re not going to meet final billing requirements for whatever reason, consider canceling your own RAP rather than letting it auto cancel.
08/22/2018
It isn’t a requirement that patient protected health information (PHI) must be encrypted. But it has become less acceptable for providers to skip encryption.

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