Home Health Line
04/28/2014
In an effort to help physicians collect necessary face-to-face documentation, CMS has drafted six pages of data points to be incorporated into electronic health record (EHR) systems as prompts for doctors. 
 
04/28/2014
Remind clinicians that the resumption of care (ROC) and transfer assessments must be completed within two days after they find out about a qualifying stay in an inpatient facility in order to get paid by CMS. 
 
04/28/2014
HME providers have been blessed by a recent reversal of denials by C2C Solutions, the qualified independent contractor (QIC) that processes appeals. But there’s no sign that home health agencies will see any movement in their two-and-a-half-year backlog of appeals.
 
04/28/2014
Asking one simple question, “How can we help you?” can protect your agency against liability in the event that an employee files a disability discrimination lawsuit. 
 
04/28/2014
Don’t assume that your provider enrollment, chain and ownership (PECOS)-related troubles are over. Agencies are facing a new wave of denials caused by missing hospitalist information.
04/28/2014
CMS is giving agencies another chance to appeal overpayments for patients who were not lawfully present in the U.S. at the time the claim was submitted. 
 
04/28/2014
Agencies that bill to Palmetto GBA can expect even more scrutiny of high-therapy claims with two HIPPS codes, 5CHK* and 5BHK*, as the Medicare administrative contractor (MAC) initiates a targeted review of these claims.
 
04/28/2014
The national averages for the multifactor falls risk assessment conducted increased by one percentage point to 98%, according to the most recent update of Home Health Compare, released April 17.
 
04/28/2014
The final version of the Hospice Item Set (HIS) was recently approved — without changes — by the Office of Management and Budget (OMB).
 
04/28/2014
Data from Medicare administrative contractor (MAC) Palmetto GBA recently posted on its website show its top denial reason in 2013 — by a landslide — was face-to-face encounter requirements not met. The MAC, which represents 16 mostly southern states, denied more than $4.6 million last year due to face-to-face rules not met. 
 

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