Home Health Line
07/28/2014
In its latest guidance about Part D medication, CMS has removed many drugs from the list of medications requiring preauthorization for hospice beneficiaries.
 
07/28/2014
New England agencies recently hit by additional documentation requests (ADRs) seeking “proof of OASIS submission and acceptance by the state” won’t have to respond after all.
 
07/28/2014
The proposed 2015 PPS rule would drop the narrative requirement for face-to-face documentation. But it’s still important to educate physicians about the need to thoroughly document why the patient is homebound and requires skilled care.  
 
07/28/2014
Make sure clinicians understand they can check response “2-Yes” for M1046 (Influenza vaccine received) in OASIS-C1/ICD-9 if your agency provided the vaccine to patients in a community flu clinic event prior to their entering your agency’s care.
 
 
07/28/2014
Take several steps to verify patients are covered by traditional Medicare, and not Medicare HMO, to prevent payment delays caused by failure to get preapproval for the HMO.
 
07/28/2014
CMS updated its website to include a complete set of Q&As that pertain to the OASIS-C1/ICD-9. 
07/28/2014

Agencies paying employees per visit should review overtime payment procedures as federal and state departments of labor (DOL) are ramping up scrutiny of wage-and-hour compliance in the home health industry.

 
07/28/2014
The following data break down the percentage of patients paying for home health care through traditional Medicare, traditional Medicaid, Medicaid HMOs and Medicare HMO. The analysis excludes private pay and private HMO patients.
 
 

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