Home Health Line
11/19/2012
One unanswered question about the recent proposed settlement is when CMS actually will direct Medicare contractors to stop citing failure to improve as a reason for denial.
 
11/19/2012
Think twice about signing a contract with Medicare Advantage (MA) plans and read the fine print before you do.
 
11/19/2012
What if the payer gets tired of paying you full rates for its PFFS beneficiaries, and just starts rejecting your claims in the hope that you’ll stop taking its patients?
 
11/19/2012
Look for discrepancies between case conference notes and the discharge OASIS to ensure you’re getting the credit you deserve for outcome improvements during the episode.
 
11/19/2012
HomeCare Elite agencies performed far above their non-Elite peers on several key outcome measures.
 
11/19/2012
Beginning Jan. 1, 2014, health care reform regulations require certain employers to offer affordable, minimum essential health insurance to their full-time employees or face the risk of penalties.
 
11/19/2012
The HHL team has compiled this quick-reference tool of the major survey provisions in this year’s final rule. Civil monetary penalties, suspension of payment for new admissions and the informal dispute resolution (IDR) process will take effect on July 1, 2014. All others changes are effective July 1, 2013. Survey changes can be found in section V of the rule.
11/13/2012
This tool was created by Arlene Maxim, founder of A.D. Maxim & Associates, as a template for a management and evaluation visit note. It helps nurses show why their oversight of the patient's unskilled care is needed. It also provides an opportunity to show how the patient's condition is being monitored by the nurse.
11/13/2012
Arlene Maxim, founder of A.D. Maxim & Associates, created this tool as a sample of how management and evaluation services can be incorporated into the plan of care.
11/12/2012
CMS’ estimated payment reduction for agencies in 2013 is feather-light, but new sanctions for survey deficiencies and a major change to the diagnosis payment slot could hit agencies harder.
 

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