Regulatory Compliance
11/28/2018
Assign a code for a patient’s body mass index (BMI) only when there is also a documented condition associated with the BMI that meets the definition of a reportable diagnosis, according to recently released Q4 2018 Coding Clinic guidance.
11/14/2018
Agencies should make it a top priority to improve coding specificity and assess the use of codes that do — and do not — drive clinical groups under the Patient-Driven Groupings Model (PDGM).
11/14/2018
Reducing the number of patient hospitalizations will take on even greater importance for agencies in value-based purchasing states starting in 2019.
11/14/2018
Agencies will continue to receive one point for a patient with a secondary diagnosis of diabetes in the first equation, according to the case-mix table discussed in the 2019 PPS final rule.
11/14/2018
CMS has decided — for now — against moving forward with a plan to reduce the frequency with which it updates the Grouper software used to assign the appropriate HIPPS code used for case-mix adjustment onto claims.
11/14/2018
Most employers are required by Title VII of the Civil Rights Act and state law to guard against and respond to claims that an employee was sexually harassed by a coworker or manager. But employers also can be liable for sexual harassment of an employee by non-employees, such as sales representatives, patients or referral sources.
11/09/2018
The following OASIS items will be optional at follow-up in 2020.
11/07/2018
Agencies that wait until the last minute to prepare for the Patient-Driven Groupings Model (PDGM) may put themselves in huge financial trouble when it launches, industry experts say.
11/07/2018
Adjustments to Medicare’s home health payments under the 2019 PPS final rule will increase agencies’ total reimbursement by $420 million in 2019.
11/07/2018
by: J'non Griffin
CMS will use specific, individual patient characteristics to determine payments for home health agencies under the Patient-Driven Groupings Model (PDGM). Understanding how the revised payment system will work is crucial to understanding its potential impact on your bottom line.

Login

User Name:
Password: