Home Health Line
02/15/2016
Your clinicians may have work-related reasons to keep patients’ medical documentation in their own cars or homes. But if that leads to an unauthorized person seeing the documentation, and your agency lacks policies and procedures to prevent violations of the HIPAA privacy rule, the result could be a stiff civil fine.
02/15/2016
If your agency provides care for Medicare Advantage enrollees, you may be subject to demands for recoupment of overpayments as a result of reviews by SCIO Health Analytics.
02/15/2016
by: Judy Adams
Make sure physicians sign and date face-to-face documentation certifying eligibility for home health before you submit your claim to CMS. Otherwise, you risk payment denial.
02/15/2016
by: Palmetto GBA
Among the 3,019 home health claims that Medicare Administrative Contractor Palmetto GBA denied from October through December 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.
02/15/2016
By the end of 2018, CMS expects 50% of provider payments to be based on quality outcomes. Home health agencies should prepare by aligning with providers from other settings and setting up a way to share data.
02/11/2016
Agencies should specifically include active shooter situations in their disaster plans and provide annual training to keep employees up to date.

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