Home Health Line
11/23/2015
With value-based purchasing slated to get underway Jan. 1, quality and clinical managers will need to have a good sense of how their agencies’ achievement and improvement scores will be calculated for the 24 measures CMS is using to gauge performance in the demonstration.
11/23/2015
Make sure your agency’s therapists list short-term and long-term goals in objective, measurable terms on the patient’s plan of care, even if the episode is only supposed to last a brief period of time.
11/23/2015
With many hospitals facing reduced Medicare reimbursement in fiscal 2016 because of too many readmissions and tougher value-based purchasing requirements, now is the time for your agency to show hospitals how it can help.
11/23/2015
Although drug testing is not necessarily a fail-safe and is an added expense, having a drug testing policy in place is a good idea for agencies. It enables them to test if they suspect an employee is coming to work impaired or has stolen medication from a patient.
11/23/2015
Medicare will press ahead with a new bundled payment policy for lower extremity joint replacements next year, CMS announced in a final rule issued Nov. 16.
11/23/2015
by: Palmetto GBA
Among the 3,210 home health claims that Medicare Administrative Contractor Palmetto GBA denied from July through September 2015, the top denial reason involved auto denials for requested records not being submitted. The second most common denial reason was 5CHG3 — medical review HIPPS code change due to partial denial of therapy.

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