Home Health Line
09/25/2017
Examine how frequently the primary diagnoses you list will be deemed “questionable encounter” codes under the Home Health Groupings Model (HHGM). As needed, train staff to query physicians for more specific information so you can avoid red flags for auditors today that will lead to claims being bounced back under the HHGM.
09/25/2017
Get ready to collect as many as 15 new OASIS data elements involving cancer, respiration, IVs and tubes and nutritional approaches starting in 2019 if CMS finalizes a proposed change announced in the 2018 PPS rule.
09/25/2017
CMS has granted disaster-related exceptions under certain Medicare quality reporting and value-based purchasing programs to home health agencies, hospices and many other types of providers in areas affected by hurricanes Harvey and Irma.
09/25/2017
by: Minneapolis-based ABILITY Network
Under the Home Health Groupings Model (HHGM), many ICD-10 codes agencies frequently use as a primary diagnosis for patients will be deemed “questionable encounters.”
09/25/2017
The following flow charts are the first two pages of a tool CMS created in September 2017 to ensure your agency's documentation meets Medicare requirements.
09/19/2017
During the Private Duty Platinum Awards event, professionals and organizations come together to highlight their work, be publicly recognized, celebrate successes and collectively recognize the high-level of work that makes a positive impact on the lives of their clients. The finalists and winners, as determined by an expert panel of judges, for DecisionHealth’s inaugural Platinum Awards – Private Duty, have been posted! 
09/18/2017
CMS has released five scenarios to help clinicians correctly answer new OASIS medication questions that have been added to comply with the IMPACT Act and will be publicly reported.
09/18/2017
Agencies in the nine value-based purchasing states performed better and improved more on several key Home Health Compare measures, according to an ABILITY Network analysis of April 2017 Home Health Compare data. These measures are based on the same data elements used to determine value-based purchasing financial rewards. 
09/18/2017
Following a recent DecisionHealth webinar about readiness for CMS’ Condition of Participation (CoP) involving patient rights, agencies asked questions of attorney Elizabeth Pearson of Pearson & Bernard in Edgewood, Ky. Here are some of Pearson’s answers.
09/18/2017
A new tool from CMS provides instruction to help agencies comply with rules for face-to-face encounters, plans of care, homebound status, the need for skilled care and certification requirements.

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