Home Health Line
07/12/2018
With rural add-on payments slated to take a hit in some areas beginning in January, industry experts advise home health agencies to reduce costs associated with clinician travel to provide patient care.
07/12/2018
Agencies won’t get any points for a patient with diabetes when it isn’t the focus of care, as that category was completely gutted in the case-mix table update in the 2019 proposed PPS rule.
07/12/2018
by: CMS
The 2019 proposed national per-visit amounts for low-utilization payment adjustment (LUPA) episodes are slightly higher for all disciplines than the 2018 rates.
07/12/2018
by: CMS
The HHL team has compiled this quick-reference tool to help you evaluate the major provisions of CMS’ proposed PPS rule for home health.
07/12/2018
by: CMS
The chart CMS created below explains how each 30-day period of care will be placed into Home Health Resource Groups (HHRGs) under the proposed Patient-Driven Groupings Model (PDGM). There are 216 HHRGs under PDGM.
06/28/2018
By focusing on potentially avoidable event measures as part of its QAPI program, Phoenix Home Care found ways to rise to greater heights of care quality.
06/28/2018
Closely scrutinize how you document care for patients who barely receive the maximum number of visits necessary for your agency to avoid a low-utilization payment adjustment (LUPA).
06/28/2018
Staffing turnover is the single biggest non-regulatory challenge for agencies’ productivity, results of HHL’s latest productivity survey show.
06/28/2018
Agencies that select the pre-claim review option of CMS’ review choice demonstration will get an educational call from a reviewer should she believe a claim warrants non-affirmation, a CMS spokesman has confirmed to HHL.
06/28/2018
Question the accuracy of a clinician’s response to M1242 (Frequency of pain interfering with patient’s activity or movement) if it indicates a patient is not experiencing pain, but the patient’s assessment includes a pain code or diagnosis that indicates pain — such as arthritis or fibromyalgia.

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