Home Health Line
10/04/2018
Analyze claims to find how often your agency would qualify for a comorbidity adjustment if the Patient-Driven Groupings Model (PDGM) were in effect now.
10/04/2018
CMS feels it’s necessary to develop a comprehensive, standardized patient assessment tool for the hospice industry.
10/04/2018
Establish procedures, set benchmarks and hold staff accountable to increase efficiencies as part of a management approach designed to ensure quality and compliance.
10/04/2018
CMS is now proposing a Dec. 10 launch date for its review choice demonstration in Illinois. And CMS also has announced a second opportunity for the home health industry to comment about the proposed demonstration.
10/04/2018
CMS has posted revisions to the State Operations Manual, Appendix B — Guidance to Surveyors for Home Health Agencies.
10/04/2018
A diagnosis of COPD could default to emphysema and could be coded with J43.9, not J44.9, which is how it currently is coded, if changes to the ICD-10 code set proposed at the most recent meeting of the ICD-10 Coordination & Maintenance Committee are implemented next year.
10/04/2018
A new House bill seeks to eliminate the use of behavioral assumptions when determining payment rates under the proposed Patient-Driven Groupings Model (PDGM).
10/04/2018
About 17% of the 3.6 million payment episodes from 2017 in Strategic Healthcare Programs’ database used a primary diagnosis that would be deemed a questionable encounter under CMS’ proposed Patient-Driven Groupings Model (PDGM).

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