Home Health Line
03/17/2014
Check with your Medicare administrative contractor (MAC) if you’d like your agency to be part of CMS’ ICD-10 claims testing.
 
03/17/2014
Medicare administrative contractors (MAC) will implement a new edit in October to deny a hospital inpatient claim with a principal diagnosis code that matches any of a hospice claim’s diagnosis codes for that patient, within the same covered period.
03/14/2014
Agencies already feeling a tsunami of scrutiny on their face-to-face documentation now have one more contractor keeping a close eye on their paperwork: StrategicHealthSolutions LLC.
 
03/14/2014
For hospice patients who received care from July 1, 2013, through Dec. 31, 2013, the average length of stay for non-cancer patients within Medicare administrative contractor Palmetto GBA’s coverage area was 141 days, according to Palmetto data..
03/10/2014
The home health industry is less than satisfied with one Medicare administrative contractor’s (MAC) response to inquiries about the Internet-based provider enrollment, chain, and ownership system (PECOS) edits that have thousands of dollars tied up in denials for some agencies.
 
03/10/2014
CMS has issued several changes it claims will improve recovery auditors’ (RACs) performance when new RAC contracts are awarded within months. Among them: adjusting additional documentation request (ADR) limits in accordance with a provider’s denial rate.
03/10/2014
The Wound, Ostomy and Continence Nurses Society (WOCN) updated its best practices last month in preparation for the shift to OASIS-C1 and ICD-10 on Oct. 1.
03/10/2014
Clinicians should focus training on some of the significant changes in OASIS-C1, including the falls risk, risk for hospitalization, worsening in pressure ulcer status and the plan of care synopsis items, now that the Office of Management and Budget (OMB) has finalized the assessment form.
 
03/10/2014
Many agencies can reduce the number of unnecessary low-utilization payment adjustments (LUPAs) they face by making sure they have an adequate ratio of supervisors to field clinicians.
03/10/2014
CMS has acknowledged to the National Association for Home Care & Hospice (NAHC) that the zone program integrity contractor (ZPIC) Health Integrity was off base in suggesting that home health patients must show improvement to qualify for continuous episodes of skilled care.

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