Home Health Line
05/15/2017
Home health agencies experienced miserable results during the first round of CMS’ probe-and-educate review last year. Data CMS provided HHL show nearly nine of 10 agencies nationwide that had a complete sample of claims reviewed failed.
05/15/2017
Incentivizing clinicians who stand out in terms of productivity and/or penalizing those who don’t is a sound way to ensure clinicians meet or exceed goals.
05/15/2017
Home health agencies can now view the Home Health PPS PC Pricer for the 2017 calendar year. CMS posted the 2017 Pricer on April 26.
05/15/2017
A newly announced probe involving routine home care services is yet another example of how auditors have begun targeting hospices in recent years due to perceived issues with documentation and medical necessity.
05/15/2017
The American Health Care Act (AHCA) passed in the House of Representatives, 217-213, on May 4 after a dramatic late push that changed key votes.
05/15/2017
by: HHL's 2017 Home Health Clinician Productivity Survey
Staffing turnover is the biggest challenge to agencies' productivity, according to nearly 38% of the 120 respondents to a question on HHL's 2017 Home Health Clinician Productivity Survey. 
05/15/2017
Following a recent DecisionHealth webinar about how to pass CMS’ probe-and-educate review, agencies asked questions of Cheryl Adams, administrator of At-Home Health Care in Sparta, Ill. Adams’ agency was successful during Round 1 of CMS’ probe-and-educate review. And during Illinois’ pre-claim review, Adams’ agency has thus far achieved a 100% affirmation rate.
05/09/2017
by: Josh Poltilove
View the following tips to avoid denials involving maintenance therapy.
05/08/2017
CMS on June 1 will provide hospices preview reports in advance of Hospice Compare’s launch. This will be hospices’ first chance to see how they’ll stack up against the nation when Hospice Compare appears this summer.
05/08/2017
by: SHP, Santa Barbara, Calif.
Although pain assessment likely will be the lowest scoring of the seven HIS measures to be included on Hospice Compare, Strategic Healthcare Programs (SHP) clients have made significant improvement on it in the past year. Pain assessment improved to 87.7% in 2016 from 78.3% in 2015 among the 1,400 hospice locations from which Santa Barbara, Calif.-based SHP collects quality data.

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