Home Health Line
06/23/2014
A federal court lawsuit challenging the Medicare appeals process would force CMS to remove the first two levels of claim denial reviews on grounds that the 98% loss rate experienced at those levels violates Medicare regulations and due process.
06/23/2014
Agencies no longer must submit face-to-face encounter documentation forms to CMS on behalf of patients receiving home health services via Medicare Advantage (MA) plans, CMS announced in a June 11 memorandum.
06/23/2014
Don’t change answers in the Hospice Item Set (HIS) even if you gain additional information between the time that the document is completed and the time that it’s submitted to CMS.
06/23/2014
As your clinicians get better at stating functional dependence of patients in the OASIS, make sure they follow through with providing the documentation to back up those answers.
06/23/2014
Create a company-specific YouTube channel for your agency as an easy way to gain even more exposure.
06/23/2014
More well-run, independent home health agencies are being sold. But that doesn’t necessarily mean buyers want to pay a ton for them.
06/23/2014
Griswold International, a major private duty franchisor that operates an “independent contractor system,” is the target of a fraud suit that alleges the Philadelphia company bilked 11 of its franchise holders by claiming its system wasn’t subject to the California Franchise Investment Law or to federal labor and tax regulations.
06/23/2014
Case-mix points from functional items have been on the rise since 2010, making it more important than ever for agencies to ramp up training and documentation to support the services provided. The data includes more than 2.5 million episodes for all of 2013.

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