Home Health Line
02/17/2014
Several agencies have asked for guidance on how to bill for flu vaccines. Here are some tips for how to do so under varying circumstances. CMS’ Medicare Claims Processing Manual describes three flu vaccine administration/billing scenarios, all of which use bill type 34X, in Chapter 18: Preventive and Screening Services.
 
 
02/17/2014
 
Medicare administrative contractor (MAC) Palmetto GBA’s probe into the medical necessity of HIPPS code 1BGP* (last digit variable) continues to grow in scope and in the percentage of denials caused by face-to-face requirements not met.
02/17/2014
Click on the link above to download a  table you can use as a quick reference for the details of each of the seven National Quality Forum (NQF)-endorsed measures CMS has proposed for use in the Hospice Item Set (HIS).
02/10/2014
Despite the more than two-and-a-half years CMS spent trying to eliminate PECOS glitches, the database is still flagging physicians’ accurate Medicare enrollment information as incorrect, causing claim denials — possibly because of corrupted data.
 
02/10/2014
Deploying yet another weapon in its battle against home health fraud, CMS has expanded the number of metropolitan areas where Medicare enrollment of new agencies is temporarily suspended to the include Fort Lauderdale, Detroit, Dallas and Houston metropolitan areas, effective Jan. 31.
 
02/10/2014
For patients in facilities, hospices should report a monthly total for each drug that is administered through a medication management system that treats each administration as a fill, rather than using a separate line on the claim to list each dose.
02/10/2014
Look over your agency’s policies and procedures and make sure a plan exists to ensure nurses’ schedules are adhered to and staff members respond to patients’ questions the day they’re asked.
 
02/10/2014
Many home health agencies believe their software vendors will be prepared by ICD-10’s Oct. 1 implementation date but about a quarter of the respondents to a recent HHL survey say they are not well-informed about their vendors’ plans or timelines or that they haven’t even discussed ICD-10 with vendors yet.
 
02/07/2014
This graph shows the average national performance from Octobe 2012 to September 2013.
02/03/2014
Medicare payments would be reduced for agencies that exceed a patient rehospitalization limit under a recommendation the Medicare Payment Advisory Commission (MedPAC) will include in its March report to Congress.

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