Home Health Line
11/28/2018
New data show the improper payment rate for home health claims continues to significantly improve. And the National Association for Home Care & Hospice (NAHC) is pointing to that improvement in its argument for why the review choice demonstration (RCD) should not occur.
11/28/2018
U.S. District Judge James Boasberg recently ruled that HHS must eliminate the backlog of appeals at the Administrative Law Judge (ALJ) level by the end of the 2022 fiscal year.
11/28/2018
Following a recent DecisionHealth webinar about the revised Home Health Conditions of Participation (CoPs), agencies asked questions of industry expert Elizabeth Pearson. Pearson is an attorney with Pearson & Bernard in Edgewood, Ky.
11/28/2018
Assign a code for a patient’s body mass index (BMI) only when there is also a documented condition associated with the BMI that meets the definition of a reportable diagnosis, according to recently released Q4 2018 Coding Clinic guidance.
11/28/2018
GG0170 (Mobility) is the item new to OASIS-D that concerns agencies the most. It’s followed by GG0100 (Prior functioning).
11/14/2018
Agencies should make it a top priority to improve coding specificity and assess the use of codes that do — and do not — drive clinical groups under the Patient-Driven Groupings Model (PDGM).
11/14/2018
Reducing the number of patient hospitalizations will take on even greater importance for agencies in value-based purchasing states starting in 2019.
11/14/2018
While agencies hustle to prepare for the Jan. 1, 2019, implementation of OASIS-D, changes to the assessment outlined in the 2019 PPS final rule could be enough to create another version of the OASIS, some industry experts contend.
11/14/2018
Agencies will continue to receive one point for a patient with a secondary diagnosis of diabetes in the first equation, according to the case-mix table discussed in the 2019 PPS final rule.
11/14/2018
CMS has decided — for now — against moving forward with a plan to reduce the frequency with which it updates the Grouper software used to assign the appropriate HIPPS code used for case-mix adjustment onto claims.

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