Home Health Line
03/21/2024
Make patient outcomes a priority as Medicare Advantage plans create unique challenges with limits on the number of visits. MA patients are receiving less visits than traditional Medicare patients and being discharged with worse outcomes, according to new report.
03/21/2024
Make sure all of your provider information is in order, and you’re compliant with all of the enrollment requirements, as CMS rolls out a new “stay of enrollment” provider status that could impact payments for care provided during a stay.
03/21/2024
Clinicians should familiarize themselves with what is considered high-risk for M2010 (Patient/Caregiver High-Risk Drug Education) as this may not always be the same as the high-risk categories in N0415 (High-Risk Drug Classes: Use and Indication).
03/21/2024
Z47.1 doesn’t specify the exact joint replaced, so it is crucial to follow the ‘use additional code’ instructional note to identify the patient’s specific joint.
03/21/2024
Aftercare following joint replacement surgery was the top primary for traditional Medicare 30-day periods.
03/14/2024
One of the main causes for delayed claims is that the referral reason is for something such as “frequent falls due to weakness,” but there is a lack of supporting documentation to support what is causing the weakness.
03/14/2024
When thinking of ways to attract referrals, an agency’s brand is not something that always comes to mind, but it can have a huge impact. 
03/14/2024
Take the extra time to look up the classification of unfamiliar medications to ensure possible scores under N0415 (High-risk drug classes: use and indication) are not missed.
03/14/2024
If passed, the bill would assist agencies in sending only the appropriate disciplines to a patient’s home. This should ultimately help agencies struggling with staffing because they won’t need to utilize multiple disciplines when only an OT is needed.
03/14/2024
CMS said it is ending the hospice benefit test “after carefully considering recent feedback about the increasing operational challenges of the Hospice Benefit Component and limited and decreasing participation among MAOs that may impact a thorough evaluation.”

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