Home Health Line
11/23/2015
With many hospitals facing reduced Medicare reimbursement in fiscal 2016 because of too many readmissions and tougher value-based purchasing requirements, now is the time for your agency to show hospitals how it can help.
11/23/2015
Although drug testing is not necessarily a fail-safe and is an added expense, having a drug testing policy in place is a good idea for agencies. It enables them to test if they suspect an employee is coming to work impaired or has stolen medication from a patient.
11/23/2015
Medicare will press ahead with a new bundled payment policy for lower extremity joint replacements next year, CMS announced in a final rule issued Nov. 16.
11/23/2015
by: Palmetto GBA
Among the 3,210 home health claims that Medicare Administrative Contractor Palmetto GBA denied from July through September 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.
11/16/2015
The average salary for home health coders is up 25% when compared to just five years ago. Salaries have continued to increase every year.
11/16/2015
A federal judge ruled Nov. 3 against the National Association for Home Care & Hospice (NAHC) in its lawsuit related to the face-to-face narrative requirement. But NAHC believes the wording within the judge’s opinion could help many agencies get denials overturned.
11/16/2015
Now’s a good time to review the documentation your agency receives from physicians to certify patients’ eligibility for home health. Doing so will help you avoid additional documentation requests (ADRs) and payment denials.
11/16/2015
Home health agencies in the nine states selected for CMS’ value-based purchasing payment model should designate a value-based purchasing point of contact.
11/16/2015
During an open door forum Nov. 4, CMS explained to agencies what they should do after choosing a point of contact involving value-based purchasing.
11/16/2015
Once again, home health agencies’ questionable documentation of Medicare claims is on the radar screen of the HHS Office of Inspector General (OIG).

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