Home Health Line
12/03/2012
A new report from the HHS Office of Inspector General (OIG) means agencies likely will see CMS and its contractors participate more actively in administrative law judge (ALJ) hearings in an attempt to uphold denials. However, experts believe the ALJs’ traditional independence from HHS could work in providers’ favor.
 
12/03/2012
How’s this for a home health nurse’s work day?
 
12/03/2012
Start getting ready immediately when a hurricane is headed for your area.
 
12/03/2012
The recent proposed CMS settlement has been hailed by some observers as a chance for agencies to provide more maintenance therapy– but if you want those claims reimbursed, you still have to document the service appropriately.
 
12/03/2012
While new therapy provisions in the final 2013 PPS rule allow agencies to bill for a late reassessment visit, CMS instead will no longer cover the visit on which the reassessment should have been conducted.
 
12/03/2012
The latest Grouper update confers case-mix status to several neoplasm codes in the 173.xx range.
11/28/2012
The latest Grouper update confers case-mix status to a range of neoplasm codes.
11/20/2012
The picture shows Olivia Glah, a nurse with VNA Health Group of New Jersey, climbing over trees to get to patients in the aftermath of Hurricane Sandy.
11/19/2012
In the final 2013 PPS rule, CMS creates an informal dispute resolution (IDR) process for Medicare surveys that would offer agencies a chance to submit additional information on specific deficiencies without the cost of a formal appeal.
 
11/19/2012
No one knows yet how many claim denials will be averted by the government’s agreement to stop using a patient’s failure to improve as a reason to deny payment for home health services.
 

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