Home Health Line
04/12/2019
by: Megan Batty, HCS-D
Use these query forms, created by Megan Batty, HCS-D, to help you more effectively query physicians for necessary diagnostic detail. 
03/07/2019
by: CMS
The chart below lists the subgroups that lead to high comorbidity adjustments under PDGM. Claims with secondary diagnoses within interacting categories will qualify for a high comorbidity adjustment.
02/13/2019
by: CMS
CMS has released the chart below to explain how the various HHRGs will be recorded under the Patient-Driven Groupings Model (PDGM). 
02/06/2019
by: Megan Batty
Use these query forms, created by in 2017 by Megan Batty, HCS-D, as examples of how you can more effectively query physicians for necessary diagnostic detail. 
02/06/2019
View coding scenarios as you prepare for PDGM.
12/29/2018
Z47.81 (Encounter for orthopedic aftercare following surgical amputation) was the least profitable primary diagnosis in home health through the first three quarters of 2018. The average reimbursement per episode was $3,031, while the average cost per episode was $2,907.
11/09/2018
The following OASIS items will be optional at follow-up in 2020.
08/21/2018
On the lower end of the payment spectrum under the proposed Patient-Driven Groupings Model (PDGM) are patients whose conditions require less frequent skilled care and other use of agency resources.
08/21/2018
by: CMS
The following HIPPS groups would have the highest and lowest case-mix weights under PDGM, according to the 2019 proposed PPS rule.
07/26/2018
The draft guidance manual defines an injury related to a fall as “Any documented injury that occurred as a result of, or was recognized within a short period of time (i.e. hours to a few days) after the fall and attributed to the fall.”

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