Home Health Line
02/22/2016
Agencies taking part in CMS’ value-based purchasing demonstration could require up to a week each quarter, particularly in the demonstration’s beginning stages, to collect, organize and submit data for the three new measures in the program.
02/22/2016
New data show CMS is following through on its plan to issue civil monetary penalties to agencies. It has collected about $750,000 in civil monetary penalties issued in 2015.
02/22/2016
Should Medicare Advantage plans be required to offer their enrollees hospice care? The Senate Finance Committee posed that question in a recent bipartisan paper on chronic care options that could be the basis for future legislation.
02/22/2016
Before you hire your next caregiver, you might want to consider spending an extra hour or so completing paperwork that could earn your agency, on average, a couple thousand dollars in federal tax credits.
02/22/2016
CMS is accepting nominations for the IMPACT Act Technical Expert Panel (TEP). The panel will develop and maintain standardized patient assessment data.
02/22/2016
The most common condition-level deficiencies continue to involve acceptance of patients, plan of care and medical supervision. G0156 was cited 129 times in 2015, 50 fewer times than in 2014.
02/15/2016
Your clinicians may have work-related reasons to keep patients’ medical documentation in their own cars or homes. But if that leads to an unauthorized person seeing the documentation, and your agency lacks policies and procedures to prevent violations of the HIPAA privacy rule, the result could be a stiff civil fine.
02/15/2016
If your agency provides care for Medicare Advantage enrollees, you may be subject to demands for recoupment of overpayments as a result of reviews by SCIO Health Analytics.
02/15/2016
by: Judy Adams
Make sure physicians sign and date face-to-face documentation certifying eligibility for home health before you submit your claim to CMS. Otherwise, you risk payment denial.
02/15/2016
by: Palmetto GBA
Among the 3,019 home health claims that Medicare Administrative Contractor Palmetto GBA denied from October through December 2015, the top denial reason involved auto denials for requested records not being submitted. The second most common denial reason was 5CHG3 — medical review HIPPS code change due to partial denial of therapy.

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