Home Health Line
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.”
03/14/2024
Agencies continue to get tripped up on documentation requirements in pre-payment reviews.
03/07/2024
It’s important for agencies to get the authorization practice streamlined, especially with the increase of Medicare Advantage (MA) plans. An ability to navigate this challenge can make or break your success with alternative payors and put you in a better position to adapt as the payor mix continues to evolve.
03/07/2024
The new quality measure Discharge Function Score (DC Function) is expected to be included in the Home Health Review and Correct Reports, the Outcome Report and the Agency Tally Outcome Report, available in iQIES in April.

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