Home Health Line
03/24/2023
A new outcome measure is on the horizon for agencies. It will impact your Care Compare results, and potentially future HHVBP reimbursement.
03/24/2023
Now, over three years since the implementation of PDGM, some agencies are still using questionable encounter (QE) codes as primary diagnosis leading to unnecessary claims rejections.
03/24/2023
Instead of the clinicians, coders are often being asked to assign symptom ratings for M1021/M1022. But they don’t have much to go on except best guesses based on documentation. Inaccurate SCRs lead to an inaccurate reflection of the patient condition, an incomplete or misdirected plan of care and incorrect coding.
03/24/2023
The five certification components must be present in the record — that includes the documentation of the date of the encounter as well as the encounter. That can only be noted once the encounter has been completed — there is no valid certification that the encounter “will occur.”
03/24/2023
Make sure all of your documentation is in order now to justify use of Payment Protection Program (PPP) funds as the government now has 10 years instead of five to investigate potential fraudulent use of funds.
03/24/2023
These 10 questionable encounters accounted for nearly 28% of the 687 questionable encounter codes listed as primary in the month of December 2022, according the Strategic Healthcare Programs’ (SHP) National Client Database.

Login

User Name:
Password: