Regulatory Compliance
03/28/2024
It was one of more than 25 proposals that were presented recently. All of the discussed proposals are being considered for an Oct. 1, 2025, implementation date.
03/21/2024
Make patient outcomes a priority as Medicare Advantage plans create unique challenges with limits on the number of visits. MA patients are receiving less visits than traditional Medicare patients and being discharged with worse outcomes, according to new report.
03/21/2024
Make sure all of your provider information is in order, and you’re compliant with all of the enrollment requirements, as CMS rolls out a new “stay of enrollment” provider status that could impact payments for care provided during a stay.
03/21/2024
Z47.1 doesn’t specify the exact joint replaced, so it is crucial to follow the ‘use additional code’ instructional note to identify the patient’s specific joint.
03/14/2024
Take the extra time to look up the classification of unfamiliar medications to ensure possible scores under N0415 (High-risk drug classes: use and indication) are not missed.
03/14/2024
If passed, the bill would assist agencies in sending only the appropriate disciplines to a patient’s home. This should ultimately help agencies struggling with staffing because they won’t need to utilize multiple disciplines when only an OT is needed.
03/07/2024
The new quality measure Discharge Function Score (DC Function) is expected to be included in the Home Health Review and Correct Reports, the Outcome Report and the Agency Tally Outcome Report, available in iQIES in April.
03/07/2024
Vascular dementia should never be assigned as the primary diagnosis in home health or the terminal diagnosis in hospice coding.
02/29/2024
A temporary pause in The Program for Evaluating Payment Patterns Electronic Report (PEPPER) means that agencies will need to monitor their own billing compliance to identify high-risk areas and data outliers.
02/29/2024
The Cybersecurity and Infrastructure Security Agency and the Department of Health and Human Services has released a cybersecurity toolkit that includes resources tailored for the health care and public health sector.

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