Home Health Line
07/18/2016
When a Stage 3 or Stage 4 wound has epithelialized, clinicians should no longer report it as an unhealed pressure ulcer. The impact of that could be a reduction of hundreds of dollars per episode.
07/18/2016
CMS recently made clear that when submitting documentation for its new pre-claim review demonstration, agencies need to include a plan of care signed and dated by the physician. That’s bad news that could delay payments since agencies generally wait many weeks for doctors to examine the plan of care and return a signed copy.
07/18/2016
A physician must provide the diagnosis of diabetes or peripheral artery disease/peripheral vascular disease (PAD/PVD), and then it must be determined the diagnosis is active in order to answer positively in M1028 (Active diagnoses), according to the OASIS-C2 guidance manual released in June.
07/18/2016
While home health agencies are using maintenance therapy G codes more often than they have in prior years, the Center for Medicare Advocacy contends these services are still underused due to a lack of education and clarity from Medicare.
07/18/2016
Weeks before CMS’ pre-claim review is slated to begin in Illinois, agencies remain confused about how the demonstration will work when patients have changes in condition or only require a few home health visits.
07/18/2016
Facebook’s recently retooled algorithm used for content people view should serve as added motivation for agencies to use the social media site’s new, free live video feature.
07/18/2016
One of the nation’s largest privately-held home health care companies will be gifted to a newly created non-profit foundation, which will become the agency’s majority owner over the next several years.
07/18/2016
Agencies’ use of maintenance therapy increased from 2013 to 2015, according to data from Seattle-based OCS, now part of ABILITY Network, Inc. Agencies used the maintenance therapy G code for PT during 1.05% of home health episodes in 2015, an increase of 33% from 2013.
07/18/2016
View the reporting algorithm for M1313.
07/18/2016
by: NPUAP.org, OASIS-C2 and OASIS-C1 guidance manuals
The following chart comprises OASIS-C1, guidance from the NPUAP and CMS' recently released OASIS-C2 guidance manual.

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