Home Health Line
05/20/2019
You must assign M19.90 (Unspecified osteoarthritis, unspecified site) for a patient whose physician has only diagnosed “osteoarthritis” — even if the physical therapist’s assessment states that the osteoarthritis (OA) is affecting the right shoulder.
05/20/2019
by: CMS
This chart shows the number of clinical points that various OASIS responses will generate under the Patient-Driven Groupings Model (PDGM).
05/20/2019
Incomplete information in the record/having to call clinicians and/or physicians for clarification is coders’ top perceived barrier to coding productivity.
05/13/2019
The public can now easily view statements of deficiencies as a result of home health complaint surveys CMS conducted with inspection dates from January 2011 through March 29, 2019.
05/13/2019
Agencies can expect to make more money under the Patient-Driven Groupings Model (PDGM) when they treat sicker patients who are admitted directly from institutional sources. But note that not every hospital stay will be considered an institutional admission source.
05/13/2019
Closely evaluate whether nurses fill out M1860 (Ambulation/locomotion) based on if a patient can safely perform a task. It’s vital to respond properly to M1860 under the PPS, and it will remain critical under the Patient-Driven Groupings Model (PDGM).
05/13/2019
In a new transmittal released May 3, CMS provided clarifications on how the Patient-Driven Groupings Model (PDGM) will work.
05/13/2019
As agencies get ready for the Review Choice Demonstration (RCD), they should examine newly posted information from Medicare Administrative Contractor (MAC) Palmetto GBA.
05/13/2019
The Department of Health and Human Services’ (HHS) voluntary cybersecurity practices for providers underscores the government’s priority of protecting electronic patient information and the need for providers to integrate the new guidance into their compliance programs.
05/13/2019
A recent $16 million settlement between the HHS Office for Civil Rights (OCR) and Anthem Health Plan for HIPAA violations highlights the importance of dealing with email phishing attacks, one of the threats identified in HHS’ recent voluntary cybersecurity guidance.

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