Home Health Line
12/18/2019
Agencies need to focus on submitting the OASIS on time to avoid denials or claims getting returned to provider (RTP), resulting in potentially costly delays.
 
12/18/2019
 Agencies will need to pay more attention than ever to visit utilization and case management because of changes to how low-utilization payment adjustments (LUPAs) will be calculated under the Patient-Driven Groupings Model (PDGM).
12/18/2019
Beginning Jan. 1, 2020, hospices will be permitted to accept medication orders from some physician assistants (PAs).
12/18/2019
Following a recent DecisionHealth webinar on the final changes to the Patient-Driven Groupings Model (PDGM) and other major provisions of the 2020 PPS final rule, agencies asked questions of industry expert Robert Markette, an attorney with Indianapolis-based Hall, Render, Killian, Heath & Lyman. 
12/18/2019
A total of 916 claims had a submission error because there were no corresponding OASIS assessments found, according to Medicare Administrative Contractor (MAC) CGS. (See related story.) Submission errors can result in rejections or claims being returned to the provider.

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