Home Health Line
02/18/2013
The data below show some three quarters of hospice patients have their pain brought to a comfortable level within 48 hours.
 
02/18/2013
Make sure documentation for management and evaluation (M&E) illustrates medical necessity by showing what risks the patient faces without the oversight of a registered nurse. That’s just one of several pieces of expert advice to help you ensure compliance if you plan on adding M&E or maintenance therapy services.
 
02/18/2013
Many private duty home care providers have resumed growth and profitability in 2012, and the M&A market may begin to thaw if the industry continues to improve.
 
02/18/2013
Agencies in recovery auditor (RAC) Region B are receiving erroneous documentation requests from Region C RAC Connolly.
02/11/2013
You’ll have to start using new Q codes to report the location services were provided and append a modifier for certain plan-of-care changes for episodes starting on or after July 1. Those additions to your claims could lead to more medical reviews and ultimately more denials.
 
02/11/2013
Failure to update your notice of privacy practices to comply with new requirements could result in higher penalties for Health Insurance Portability and Accountability Act (HIPAA) violations.
 
02/11/2013
Your agency may have a state-of-the-art IT system that links clinician laptops and hand-held devices to your patient records and even telemonitoring devices. But you soon could be behind the times if you’re not connected to referring hospitals and physicians.
 
02/11/2013
Don’t rely on your Medicare administrative contractor (MAC) to adjust claims for late episode payments. Those payments could make a difference of hundreds of dollars per episode.
 
02/11/2013
Last year marked the first time CMS’ recovery auditors (RACs) showed interest in home health, and nearly 10% of agencies report receiving a documentation request from them.
02/11/2013
Get ready for more Medicare recoupment, this time for past services provided to “aliens not lawfully present in the U.S.” But if you’re trying to identify unlawfully-present beneficiaries proactively to prevent future recoupment, you may be out of luck. 
 

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