Home Health Line
07/22/2022
Approach any efforts by clinicians to streamline their documentation with skepticism, as generalizations and a lack of specificity are causing denials under post-payment review due to a failure to show medical necessity.
07/22/2022
Now that agencies will be required to use a more extensive test for depression, put a plan in place for how to respond should patients exhibit signs and symptoms.
07/22/2022
With the increased attention on patients’ mood and mental status that is coming with OASIS-E, agencies need to be on the lookout for signs of suicidal ideations and have a written plan in place for how clinicians should respond when signs and symptoms present.
07/22/2022
All too often, our businesses don’t undergo compliance checkups, especially in the wage and hour field, where audits are vitally needed.
07/22/2022
Failure to support medical necessity for skilled services is one of the top reasons for claim denial. Use these tips to support medical necessity.
07/22/2022
Thirty percent of claims denied by CGS under medical review in the first three months of 2022 were tied to skilled nursing services not being medically necessary.
07/15/2022
CMS announced that it will release in July a sample interim report and sample annual performance report to help agencies get familiar with how they will be scored in the expanded Home Health Value-Based Purchasing (HHVBP) model.
07/15/2022
Get your nurses and therapists working together to match up functional assessments before submission — especially for patients with cognitive issues — to avoid documentation red flags and payment impacts. 
07/15/2022
The average salary of a home health coder in 2021 increased 2% to $67,134, making this the largest increase since the average salary rose 4% in 2019 leading up to the implementation of PDGM.
07/15/2022
Update your processes to ensure that eligibility on any referral is checked with the common working file (CWF) before a patient is accepted.

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