Home Health Line
07/04/2016
A new HHS Office of Inspector General (OIG) analysis has identified 562 home health agencies nationwide — about 5% of all agencies — that have multiple characteristics found in OIG-investigated cases of fraud.
07/04/2016
The private duty industry’s court battle involving the companionship services exemption has come to an end.
07/04/2016
by: CMS
The 2017 proposed national per-visit amounts for low-utilization payment adjustment (LUPA) episodes are slightly higher for all disciplines than the 2016 rates.
07/04/2016
by: CMS
View this tool to evaluate the major provisions of the proposed 2017 PPS rule.
07/04/2016
by: CMS
The following table contains the list of 20 measures CMS is seeking to use to guage performance and base payment adjustments related to value-based purchasing.
06/30/2016
No specific form will be created for CMS’ new pre-claim review demonstration. Instead, Medicare Administrative Contractors (MACs) may develop checklists as a guide agencies can choose to use when providing pre-claim review requests. 
06/27/2016
Medicare’s attempts to reduce the massive backlog of appeals aren’t working, a new report from the Government Accountability Office (GAO) indicates.
06/27/2016
Agencies should now code E11.40 (Type 2 diabetes mellitus with diabetic neuropathy, unspecified) for a patient who has diagnoses of diabetes and neuropathy, even if there’s no specified confirmatory link in the record, according to the Q2 2016 Coding Clinic update.
06/27/2016
To avoid the panic that might ensue when patients begin to receive letters stating that their home care services are not covered, agencies in the states where the pre-claim review is taking place need to start educating their patients.
06/27/2016
When two clinicians from your agency speak about coordination of care for a patient, each clinician should document details of the conversation in the patient’s record.

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