Home Health Line
07/31/2017
Create a checklist to verify that your agency has explained to patients and/or their legal representative(s) all the patient rights outlined in the revised Home Health Conditions of Participation (CoPs) — and that you have provided them with the necessary documentation.
07/31/2017
Two months after CMS said there was no plan for another round of the probe-and-educate review for home health, the possibility of an expanded review is inching closer to reality.
07/31/2017
Many agencies are assigning primary diagnoses that could leave their claims open to risk. Consider that the code I10 (Essential (primary) hypertension) was assigned as the primary diagnosis code slightly more than 3% of the time on home health claims in 2016, according to data from Seattle-based OCS HomeCare, now a part of the ABILITY Network.
07/31/2017
Agencies have begun receiving denials stemming from a requirement that took effect in April. In many cases, those providers are surprised by what’s triggering the denials.
07/31/2017
by: Minneapolis-based ABILITY Network
Aftercare for joint replacements, muscle weakness and hypertension were the three most commonly assigned primary diagnosis codes in 2016, according to data from Minneapolis-based ABILITY Network.
07/31/2017
by: Attorney Elizabeth Pearson of Pearson & Bernard in Edgewood, Ky
Use this form as an example of the way to document that you have provided and explained all the patient rights information as required under the revised Home Health Conditions of Participation. This form should be included within the patient record.
07/31/2017
by: CMS
Within the 2018 proposed PPS rule, CMS details that 27 of the 51 categories from which diagnoses codes and OASIS responses can earn case-mix points will lose points come Jan. 1, 2018.
07/31/2017
Twenty-seven of the 51 categories from which diagnoses codes and OASIS responses can earn case-mix points will lose points come Jan. 1, 2018.
07/31/2017
Hospices may soon have a less taxing way to return overpayments to CMS, officials from the federal Medicare agency announced during a July 20 home health, hospice and durable medical equipment (DME) open door forum.
07/27/2017
CMS' proposed PPS rule for 2018 seeks to remove 247 data elements from 35 OASIS items collected at specific time points during a home health episode. Those changes would occur beginning Jan. 1, 2019.

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