Home Health Line
10/22/2012

Your clinicians’ OASIS workload just got a little lighter: Home health agencies will now be able to use a single tool that is both multi-factorial and validated to assess patients for falls risk and mark “yes” on M1910 (Falls risk assessment).

10/22/2012

The Oct. 11 update of Home Health Compare marked the first appearance of the claims-based emergency department (ED) use without hospitalization measure, which debuted at 11%.

10/22/2012

Fast-rising enrollment in Medicare HMOs and other Medicare Advantage (MA) plans suggests agencies’ problems with visit rationing and low reimbursement rates are likely to get worse.

10/22/2012

Before getting into negotiations with a plan, determine whether Medicare Advantage (MA) market penetration is significant enough in your area to warrant the effort of getting a contract, recommends Barbara McCann, chief industry officer at Interim HealthCare in Sunrise, Fla.

10/22/2012

How few home health visits may a Medicare Advantage plan allow an enrollee per episode of care and still meet the requirement that plans must provide coverage for the same services as standard fee-for-service Medicare?

10/22/2012

Most of the 157 agencies responding to HHL’s face-to-face encounter denial survey have seen fewer than five denials.

10/22/2012

Overlaps with claims from other providers and the submission of duplicates are the most common reasons agencies have claims rejected or returned to them, according to a Sept. 18 NGS webinar.

10/22/2012

Aging baby boomers are increasing the demand for unskilled aides who can help seniors continue living in their own homes. But what do background checks actually reveal about those aides?

10/22/2012

New England Medicare administrative contractor (MAC) NHIC has released the results of a review of claims with five to seven visits.

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