Home Health Line
06/30/2014
Griswold International, a major franchisor of a private duty model it calls the “independent contractor system,” is the target of a fraud court suit that alleges the Philadelphia company bilked 11 of its franchise holders by falsely claiming its system wasn’t subject to the California Franchise Investment Law or to federal labor and tax regulations.
06/30/2014
Prepare your agency and work with your software vendor now to track potential rejections of OASIS data transmission when the new OASIS-C1/ICD-9 form takes effect Jan. 1, 2015.
06/30/2014
Review your agency’s policies, procedures and practices for preventing and controlling infection breaches to avoid fines in the thousands of dollars and other penalties.
06/30/2014
Train patients how to clean oxygen masks, nebulizers and inhalers to prevent infections and you could avoid possible readmissions for high-risk COPD. Best practices to reduce infection will help your agency boost referrals from hospital discharge planners who are focused on reducing readmissions for these diagnoses linked to payments.
06/30/2014
Although residents and nurses aren’t allowed to sign face-to-face forms, educating them can still increase your chances of getting doctors to fill out forms accurately and expediently.
06/30/2014
The data below show the average readmission rates within 30 days of home health admission for the five diagnoses that trigger hospital readmission penalties.
06/30/2014
Forty states and Washington, D.C. currently require background checks for home health workers and four of the remaining states — Connecticut, Georgia, Hawaii and West Virginia — report they’re planning to implement such requirements in the near future.
06/23/2014
A federal court lawsuit challenging the Medicare appeals process would force CMS to remove the first two levels of claim denial reviews on grounds that the 98% loss rate experienced at those levels violates Medicare regulations and due process.
06/23/2014
Agencies no longer must submit face-to-face encounter documentation forms to CMS on behalf of patients receiving home health services via Medicare Advantage (MA) plans, CMS announced in a June 11 memorandum.
06/23/2014
Don’t change answers in the Hospice Item Set (HIS) even if you gain additional information between the time that the document is completed and the time that it’s submitted to CMS.

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