Home Health Line
04/08/2016
After your agency learns the results of the five claims selected for CMS’ home health “probe and educate” review, it should take the time to participate in a one-on-one phone call with its Medicare Administrative Contractor (MAC) to discuss the review’s findings. Doing so will allow your agency to receive more feedback about why the MAC denied your claims.
04/05/2016
by: OCS HomeCare, now a part of the ABILITY Network
459 (Other disorders of circulatory system) was the least profitable ICD-10 subcategory in the first three quarters of 2015. That’s according to an OCS HomeCare analysis of assessments conducted by more than 1,800 provider locations nationwide.
12/21/2015
If you’re taking a “send it and forget it” approach when it comes to outsourcing coding, you may be in for a rude — and potentially costly — awakening.
12/21/2015
A new HHS report shows a huge — and growing — percentage of home health claims are being paid in error, largely due to insufficient documentation and medical necessity errors.
12/21/2015
Don’t focus on using a patient’s diagnosis alone as the most important risk factor when determining whether patients are more likely to be readmitted to the hospital.
12/21/2015
Your agency should receive the results of the regular audits your coding outsourcer performs on your records, and you should be entitled to whatever information you desire about how your records are being coded, whenever you want it.
12/21/2015
Consider purchasing a software service that will aid you in monitoring requirements under the Affordable Care Act (ACA), such as whether employees are considered full-time equivalents and if they’ve received your company’s offers for health insurance.
12/21/2015
by: HHL's 2016 Trends Survey
Nearly 34% of the 122 respondents to a question on HHL’s 2016 Trends Survey say their agency received one to five denials from Medicare contractors in 2015 based on the face-to-face encounter requirement for episodes beginning Jan. 1, 2015.
12/21/2015
by: CMS
The following data for the top 5 HHRGs by highest number of episodes and payment, respectively, in 2013 was released by CMS in December 2015.
12/21/2015
by: OCS HomeCare, now a part of the ABILITY Network
Only 28 agencies nationwide achieved HomeCare Elite Top 100 status while also earning five stars in the July 2015 release of Home Health Compare, according to OCS HomeCare, now a part of the ABILITY Network

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