Home Health Line
02/09/2015
CMS has released a voluntary, five-page “clinical template” to reduce home health claims denials for lack of face-to-face information. But preliminary reaction from the home health industry suggests concern that physicians won’t have the time to complete such lengthy forms.
 
02/09/2015
Make sure your agency has a process for submitting timely OASIS assessments to prevent future additional documentation requests (ADRs) that CMS will be better able to detect as a result of its new system.
 
02/09/2015
One Florida hospice had 100% success during CMS’ recent ICD-10 end-to-end testing week. It believes its prior preparation in advance of ICD-10’s Oct. 1 implementation date — from training coders to educating clinicians about the detail documentation requires — allowed it to be fully prepared for testing.
 
02/09/2015
President Barack Obama’s fiscal 2016 budget once again sets out Medicare savings at the expense of home health. That could be attractive to lawmakers as they consider ways to offset the cost of avoiding the deep cut in physician payments that will occur in March unless Congress acts.
 
02/09/2015
Hospices providing care within assisted living facilities (ALFs) should carefully examine their eligibility criteria and admission process in the wake of a new HHS Office of Inspector General (OIG) report citing troubling data attached to such care.
 
02/09/2015
by: Palmetto GBA
About three-quarters of the denials issued by Medicare administrative contractor Palmetto GBA from October 2014 through December 2014 were for face-to-face encounter requirements not met, according to data Palmetto posted on its website Jan. 26.
 
02/09/2015
by: HHS Office of Inspector General
More than 120,000 beneficiaries received hospice care in assisted living facilities (ALFs) in 2012; the median number of days they spent in hospice care was 98, according to an HHS Office of Inspector General analysis of CMS data in 2013. 
 

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