Home Health Line
03/11/2013
Starting May 1, all Medicare administrative contractors (MACs) will implement an edit which looks for claims with the following characteristics, according to CMS’ March 1 MLN Matters article.
03/11/2013
Agencies may add a title and date to face-to-face encounter documentation in cases where the certifying physician forgets to do so.
 
03/11/2013
Your agency soon could find it easier to provide care to veterans under a proposed rule that would eliminate burdensome federal contracting requirements and pay providers at the going Medicare or Medicaid rate, whichever is higher.
 
03/11/2013
Compare costs and features and earn substantial discounts by negotiating for the whole agency when you select a roadside assistance plan for clinicians. Though the packages do come at a cost, experts say they can be valuable in the long term, particularly for those who frequently drive significant distances to reach patients.
 
03/11/2013
The table below shows how your payment changes based on the HHRG, episode timing and number of therapy visits under the final 2013 PPS rule. Therapy visit count changes in that rule are putting agencies at risk of dropping to a lower reimbursement level.
03/11/2013
The table below illustrates a scenario from CMS therapy Q&As released March 1. The scenario is designed to show the impact of a missed reassessment on subsequent visits. Note that the missed reassessment in the scenario results in four non-covered visits, downgrading the episode from 23 to 19 Medicare-covered therapy visits.
 
03/04/2013
Use detailed questioning on confusion and anxiety to pinpoint patients who suffer from a newly identified condition that could be causing preventable readmissions at your agency.
 
03/04/2013
Use this outline of stress factors and resulting risks that occur in patients with post-hospital syndrome to educate discharge planners on helpful information they can share with your agency.
 
03/04/2013
Starting this summer, hospices no longer can ignore monthly billing requirements, as CMS will begin enforcement of a long-standing policy. For many hospices, this means they either change their billing practices or risk claim returns. But there are steps you can take now to prepare for enforcement.
 
03/04/2013
New data from OCS HomeCare show that agencies may be using codes in the V57 category (Care involving use of rehabilitation procedures) incorrectly, raising the risk of auditor scrutiny and patient mischaracterization that could hurt outcomes.
 

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