Home Health Line
01/25/2016
Medicare Administrative Contractor (MAC) Palmetto GBA has started issuing full denials on home health claims with a diagnosis of diabetes coded in either M1021 (Primary diagnosis) or M1023 (Other diagnoses) when there is no current HbA1c test result on file.
01/25/2016
New CMS data emphasize the importance of making every therapy visit count by adopting more efficient treatment plans and documentation processes.
01/25/2016
Document the exact reasons why a patient requires an outlier payment from CMS for frequent, routine care such as insulin shots or wound dressing changes. This will prevent your agency from losing thousands in payment denials.
01/25/2016
Mergers and acquisitions experts are bullish on the state of Medicare home health sales now and for the next several years.
01/25/2016
Highly favorable market conditions and a steady demand for home care acquisitions reported by industry experts mean it’s a great time to sell your home care business.
01/25/2016
Medicare Advantage plans may soon come under the scrutiny of recovery audit contractors (RACs), and industry experts contend that ultimately could hurt home health agencies’ bottom lines.
01/25/2016
The HHCAHPS Data Submission Tool will be unavailable for about two weeks beginning Jan. 25 as the HHCAHPS Coordination Team transitions the tool to accept ICD-10 codes.
01/25/2016
CMS will make interim Quality Assessment Only (QAO) data available through CASPER reports that show agency performance against the QAO metric.
01/25/2016
The following data for the top five HHRGs by highest number of episodes in 2013 was released by CMS in December 2015.
01/22/2016
When answering M1306 (Unhealed pressure ulcer at Stage 2 or higher), note that pressure ulcers are not caused by friction — say in the case of what appears to be a serum-filled traumatic blister at the heel of the foot — but by pressure and shearing forces.

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