Home Health Line
08/22/2018
Closely review whether your agency submits a final claim every time it submits a request for anticipated payment (RAP). If you recognize you’re not going to meet final billing requirements for whatever reason, consider canceling your own RAP rather than letting it auto cancel.
08/22/2018
It isn’t a requirement that patient protected health information (PHI) must be encrypted. But it has become less acceptable for providers to skip encryption.
08/22/2018
While “Hospice and palliative care pain assessment” remains the most difficult measure for providers to earn high marks on when it comes to the Hospice Item Set (HIS), the industry overall has improved nearly 5% on the measure since December 2017.
08/22/2018
by: Financial Monitor, Hamden, Conn.
The direct cost per visit for skilled nursing increased to $103 per visit in 2017, compared with $94 per visit in 2016, according to the Financial Monitor, a benchmarking service of Simione Healthcare Consultants, Hamden, Conn. Other disciplines also were costlier for agencies, including social workers ($185 compared with $158).
08/22/2018
The data below show the national median figures for home health agencies’ indirect costs as a percentage of revenue.
08/21/2018
On the lower end of the payment spectrum under the proposed Patient-Driven Groupings Model (PDGM) are patients whose conditions require less frequent skilled care and other use of agency resources.
08/21/2018
by: CMS
The following HIPPS groups would have the highest and lowest case-mix weights under PDGM, according to the 2019 proposed PPS rule.
08/20/2018
Only eight codes considered questionable encounters under the never finalized Home Health Groupings Model (HHGM) are on the list of codes that result in a valid clinical group under the Patient-Driven Groupings Model (PDGM) outlined in the 2019 proposed PPS rule.
08/15/2018
The four pages of changes CMS has just made to its OASIS-D guidance manual correct a mistake involving physician-ordered resumptions of care (ROCs) and standardize language for pressure injury/ulcer items.
08/15/2018
With the upcoming vetting of Brett Kavanaugh for the soon-to-be vacant seat of Justice Anthony Kennedy on the U.S. Supreme Court, home health agencies may again have a pro-business ally whose past rulings show a healthy skepticism of the power of administrative agencies.

Login

User Name:
Password: