Home Health Line
10/04/2018
CMS has posted revisions to the State Operations Manual, Appendix B — Guidance to Surveyors for Home Health Agencies.
10/04/2018
A diagnosis of COPD could default to emphysema and could be coded with J43.9, not J44.9, which is how it currently is coded, if changes to the ICD-10 code set proposed at the most recent meeting of the ICD-10 Coordination & Maintenance Committee are implemented next year.
10/04/2018
A new House bill seeks to eliminate the use of behavioral assumptions when determining payment rates under the proposed Patient-Driven Groupings Model (PDGM).
10/04/2018
About 17% of the 3.6 million payment episodes from 2017 in Strategic Healthcare Programs’ database used a primary diagnosis that would be deemed a questionable encounter under CMS’ proposed Patient-Driven Groupings Model (PDGM).
09/26/2018
When preparing for the Patient-Driven Groupings Model (PDGM), it’s vital to examine how many visits your agency provides individual patients during 30-day periods — and to determine whether those episodes would be considered LUPAs under PDGM.
09/26/2018
Home health agencies and other facilities only would need to review their emergency preparedness programs every two years if a proposal from CMS is finalized.
09/26/2018
A new Senate bill seeks to eliminate the use of behavioral assumptions when determining payment rates under the proposed Patient-Driven Groupings Model (PDGM).
09/26/2018
CMS has announced it is finalizing a proposal to add the measure “Improvement in management of oral medications” and remove the measure “Drug education on all medications provided to patient/caregiver during all episodes of care” from home health quality of care star ratings.
09/26/2018
Agencies recently asked a number of questions of industry experts J’non Griffin and Joan Usher. Griffin is president of Home Health Solutions, LLC in Carbon Hill, Ala., and Usher is president of JLU Health Record Systems of Pembroke, Mass.
09/26/2018
As coders mark the third anniversary of the U.S. adoption of ICD-10 this October, its newly minted successor is waiting in the wings, nearly ready for adoption.

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