Home Health Line
11/07/2016
Come Jan. 1, case-mix value will no longer be available for two diagnosis categories — gastrointestinal conditions that occur with neuro conditions, and stroke conditions that interact with OASIS dressing items — and one OASIS item, M1400 (Dyspnea), according to the 2017 PPS final rule.
11/07/2016
Agencies will soon begin billing separately under Medicare Part B when they provide new disposable negative pressure wound treatment devices. But CMS recommends that before sending out bills involving care for patients requiring devices, agencies educate themselves about how to properly bill for them.
11/07/2016
The 2017 PPS final rule makes some changes to the measures that will be used to determine value-based purchasing demonstration bonuses and also adds some measures that agencies will need to collect data for to receive their inflation update in 2018.
11/07/2016
The moment home health and hospice agencies have feared has finally arrived. CMS announced Oct. 31 that Performant Recovery Inc. will be the first recovery audit contractor (RAC) dedicated to home health, hospice and durable medical equipment (DME).
11/07/2016
Report a diagnosis of diabetes or peripheral vascular disease (PVD)/peripheral arterial disease (PAD) in OASIS item M1028 (Active diagnoses) when either diagnosis meets the criteria for assignment in M1021 or M1023 as a primary or comorbid condition, according to the October 2016 CMS OASIS Q&As.
11/07/2016
by: 2017 PPS final rule; 2016 PPS final rule
The 2017 national per-visit amounts for low-utilization payment adjustment (LUPA) episodes are higher for all disciplines than the 2016 rates.
11/04/2016
Set strict parameters for tracking timely OASIS submission for every single claim to prevent receiving a brand new set of denials starting next year.
10/31/2016
Covering a pressure ulcer with a skin graft changes it from a pressure ulcer to a surgical wound. This new guidance from CMS could cost your agency.
10/31/2016
CMS no longer has a central point of communication for agencies to submit OASIS questions. Instead OASIS Education Coordinators (OECs) from all 50 states are being assigned responsibility to respond to inquiries.
10/31/2016
The number of agencies earning five stars on HHCAHPS continued to decline in CMS’ latest data release — and that could make it more difficult for some quality agencies to sell themselves to referral sources.

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