Home Health Line
03/10/2014
Top performing home health agencies — in terms of criteria ranging from financials to better outcomes — have a lower percentage of LUPA visits, according to a data analysis conducted by Strategic Healthcare Programs (SHP) and BKD Health Care Group.
03/10/2014
CMS' MLN Matters SE1410, article initially released Feb. 24, caused confusion due to its reference to ICD-9 codes being used on the OASIS-C1 assessment and its instruction to use the general equivalence mappings (GEMs), which was intended to ease the strain of coding claims that will span Oct. 1.
 
03/10/2014
Change Request (CR) 8425, which CMS announced Feb. 20, provides recovery auditors (RACs), Medicare administrative contractors (MACs) and zone program integrity contractors (ZPICs) with an opportunity to issue even more denials.
03/03/2014
CMS has told Recovery Auditors (RACs) to temporarily cease issuing additional documentation requests (ADRs). But they will resume when CMS awards the next round of RAC contracts, so home health agencies should still keep contractors’ documentation requests or denials top of mind.
 
 
03/03/2014
Many hospices are expressing concern about the new requirement to provide CMS with a detailed breakdown of prescription drug and infusion pump and fill data on all claims dated April 1 and beyond.
 
 
03/03/2014
The M0090 (Date assessment completed) date will determine whether you’ll assign ICD-9 or ICD-10 codes on the OASIS for new or recertified episodes with a five-day window that spans Oct. 1, according to CMS’ MLN Matters SE1410 article, released Feb. 24.
03/03/2014
CMS is giving home health agencies another chance to profit if they reduce hospitalizations enough to exceed savings targets.
 
 
03/03/2014
Consider adopting clinical pathways to increase nursing visit efficiency, decrease re-hospitalizations and market to referral sources like accountable care organizations (ACOs).
03/03/2014
Home health agencies should direct certain beneficiaries to select Option 1 on Advance Beneficiary Notice of Noncoverage (ABNs) when a Medicare claim denial is needed to facilitate payment by Medicaid or a secondary insurer.
03/03/2014
 
Top performing home health agencies conduct fewer visits per episode, but the visits are generally longer and cost more, according to data from Strategic Healthcare Programs (SHP) and BKD Healthcare Group.

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