Home Health Line
11/17/2014

Have admitting clinicians from your agency write a clinical summary based on their assessment of a patient, and make sure the patient’s physician signs off on it.

 
11/17/2014
The issue of whether Medicare will pay for home care patients who fail to improve continues to simmer.
 
 
11/17/2014

A new hospice regulation that took effect Oct. 1 increases the need for hospices to train multiple employees to file notices of election (NOEs) through Medicare’s direct data entry (DDE) system.

 
11/17/2014

A look at 2013 Medicare claims data reveals high denial rates for physicians using the new transitional care management (TCM) codes. Agencies can use this data to educate physicians how to get these payments.

 
11/17/2014

Agencies wishing to ensure accurate payment for OASIS-C1/ICD-9 assessments beginning Jan. 1, 2015 will need to make sure their quality managers, educators and clinical directors study and understand that four diagnosis groups will no longer be used in scoring in the PPS Grouper released by CMS Nov. 10.

 
11/17/2014

CMS plans to reduce or increase home health payments by 5% to 8% in five to eight states beginning in 2016, depending on the degree of quality performance achieved.

 
11/17/2014
CMS has removed the requirement for physicians to provide a face-to-face narrative. Below is a sample, revised encounter form that removes spaces for doctors to write narrative examples within their face-to-face documentation. This form could be a separate document that your agency provides doctors or this information could be captured in the plan of care. 
 
11/17/2014
by: DecisionHealth
Physicians were denied 37.3% of the time during the 476,307 instances in 2013 when they billed with TCM codes 99495 or 99496.

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