Regulatory Compliance
02/08/2024
Understanding the recent changes to coding for chronic obstructive pulmonary disease (COPD) has been a challenge for coders since the updates first took effect Oct. 1, 2023, especially when coding an acute exacerbation or COPD with lower respiratory infection.
02/08/2024
There needs to be a role or team assigned to monitor responses to patient access requests and ensure that responses comprehensively address all current patient rights for nontraditional (including physical) and digital access to their associated PHI records.
02/02/2024
Make sure your documentation clearly justifies the patient’s need for skilled services, as medical necessity appears to be a top concern for auditors in the latest post-payment review.
02/02/2024
The CDC posted updated FY2024 ICD-10-CM guidelines, including a sequencing update for sepsis due to postprocedural infection.
01/25/2024
Updated rules in determining who is an independent contractor and who is an employee offer an important reminder that, under both the existing and updated rules, home health workers rarely meet the definition of “independent contractor.”
01/25/2024
Safe patient handling and mobility programs (SPHM) help reduce injuries to both patients and staff in home health care and across other settings.
01/25/2024
The CDC recently released tabular addenda changes to the ICD-10 code set, effective April 1.
01/18/2024
Two laws that increased the federal match rate for Medicaid-funded agencies are being phased out or decreased in funding, leaving state Medicaid funds hanging in the balance.
01/11/2024
There has been a recent uptick in denials because the telehealth encounters don’t have — or don’t clearly show — that there were both audio and visual components.
01/11/2024
Agencies should create templates for diagnoses that require a follow-up query most often due to insufficient or unclear documentation to avoid slowing down the QA process and possible claims submission delays.

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