Home Health Line
11/14/2016
The efforts T.O.N.E. Home Health Services, Inc. took to successfully become a 5-star agency led accountable care organizations (ACO) to take notice. And the agency is reaping rewards from its relationships with ACOs In a few months, its daily census went from 160 to 250 patients due to referrals and star recognition. 
11/14/2016
Perform surprise visits during personal care aide shifts to determine if your employees are at clients’ homes when they’re scheduled to be, thus avoiding the possibility of Medicaid paying out for services not performed.
11/14/2016
Cotiviti Healthcare, which previously served as a recovery audit contractor (RAC) for multiple types of health care providers including home health agencies, recently submitted about 71,000 home health claims adjustments to Medicare Administrative Contractor (MAC) Palmetto GBA for recovery.
11/14/2016
The good news in CMS’ latest release of data involving Illinois’ pre-claim review is agencies’ results are continuing to improve.
11/14/2016
You should only assign a code from the Z47.3- (Aftercare following explantation of joint prosthesis) when the joint replacement complication has completely resolved, the old joint has been removed and a new one has been placed in a planned, staged procedure.
11/14/2016
by: HHL’s Proposed CoPs Survey
More than 66% of agencies are getting more QI training to prepare for the QAPI requirement in the proposed Home Health Conditions of Participation (CoPs), according to the 250 respondents to a question on HHL’s Proposed CoPs Survey. 
11/14/2016
At least in the short term, a recent court ruling could lead to a more stringent interpretation of a Medicare standard for the timing of obtaining physician signatures. It also could lead to more whistleblower cases. 
11/14/2016
New data show agencies continue to struggle with coding congestive heart failure (CHF) under ICD-10. That’s a major concern because heart failure is the second most common primary diagnosis for home health patients at the start of care.
11/14/2016
by: Minneapolis-based ABILITY Network, Inc.
I50.- (Heart failure) is the second most common primary diagnosis home health agencies use under ICD-10, according to first and second quarter 2016 data from OCS HomeCare by National Research Corporation. (See story, p. 1.) Roughly half the time agencies use I50.-, they use a 9 in the fourth position.
11/07/2016
Agencies will do slightly better on average under the 2017 PPS final rule than CMS originally estimated — despite rebasing and other unfavorable adjustments.

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