Home Health Line
08/30/2023
Carefully consider whether skilled nursing and therapy visits are appropriate, particularly for recertifications, as the latest results of claims reviews under Targeted Probe and Educate (TPE) note “skilled nursing not medically necessary” was among the top reasons for denial.
08/30/2023
CMS is making good on promises to address fraud, waste and abuse in the hospice system, including a variety of survey and compliance measures to weed out bad actors and address broader quality concerns.
08/30/2023
CMS released the Home Health Grouper August 16, which contained acceptable primary diagnoses and the high comorbidity and low comorbidity adjustments for the new FY2024 codes — set to take effect Oct. 1.
08/30/2023
Ongoing staffing issues have some agencies hiring gig workers to supplement full-time staff.
08/30/2023
by: Jasmyne Ray
The demand for home health services grows, but the lack of infection prevention oversight presents a problem, according to Devin Jopp, CEO of the Association for Professionals in Infection Control and Epidemiology (APIC). 
08/30/2023
by: Jasmyne Ray
With 30 years of experience in home care and the home health sector, Paul Mastrapa is in familiar territory as president and CEO of Interim HealthCare and its parent company, Caring Brands International.
08/30/2023
by: DecisionHealth Staff
Issues with the initial certification and justification for skilled nursing were the two main problem areas for providers under Targeted Probe and Educate (TPE) review by Medicare Administrative Contractor CGS. The results include 147 reviews from September 2022 to March 2023.

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