Home Health Line
08/13/2012

CMS will investigate additional restrictions on outliers and explore a freeze on home health enrollment, the federal Medicare agency says in its response to an Aug. 2 report from the HHS Office of Inspector General (OIG).

08/13/2012

Get contractors to take accountability for your agency’s compliance with therapy requirements to prevent non-billable visits due to missed reassessments.

08/13/2012

Whatever side of the question your agency comes down on, make sure you have the right solution to minimize the number of missed reassessments before CMS’ proposals become finalized.

08/13/2012

In the proposed 2013 PPS rule, CMS proposed to only permit fracture diagnosis codes to be placed in the diagnosis payment slot (M1024), eliminating everything else, including resolved conditions.

08/13/2012

The data below show what percentage of patients agencies treat for conditions that have been resolved
through surgery.

08/13/2012

Look for a new kind of hospice report in your mail later this month that can help you identify risk factors for auditor scrutiny and remedy them through targeted internal reviews.

08/13/2012

After you’ve hired a new director of nursing (DON) for your agency, the next step is to conduct an in-depth training that helps your agency stay compliant with the conditions of participation (CoPs) and avoid disruptions in clinician productivity.

08/13/2012

CMS has posted a new map that shows contractor jurisdictions and lists key contact information for Medicare administrative contractors (MACs) and other CMS contractors in every state.

08/13/2012

The following scenario can help you illustrate to coders how coding for resolved conditions will change if CMS’ proposal to limit use of the diagnosis payment slot (M1024) is finalized. The scenario was created by Ann Rambusch, president of Rambusch3 Consulting, Georgetown, Texas.

08/13/2012

This table summarizes the findings of the HHS Office of Inspector General (OIG) in its report published Aug. 2. The findings reinforce the reputation of Florida and Texas as hot spots of home health fraud.

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