Home Health Line
07/08/2013
An initial look at CMS’ proposed list of ICD-10 case-mix and non-routine supply (NRS) codes appears to be a direct crosswalk of the current case-mix codes, but there are some noteworthy omissions.
 
07/08/2013
Use the time between now and Jan. 1 to analyze your agency’s use of the 170 ICD-9 diagnosis codes CMS is proposing to remove from the Grouper. CMS estimates that the elimination of the codes’ case-mix status will have a minimal impact on agency reimbursement, but experts are skeptical.
 
 
07/08/2013
A proposed across-the-board change to home health case-mix weights could further cut into the profitability of episodes with 20 or more therapy visits. However, the long-expected elimination of therapy visits as a payment factor isn’t on the table – yet.
 
07/08/2013
Agencies could see two new claims-based measures added to Home Health Compare in 2015.
 
07/08/2013
The HHL team has compiled this quick-reference tool to help you evaluate the major provisions of CMS’ proposed rule. The following changes would take effect in 2014 if the rule is finalized as proposed.
07/08/2013
Agencies in Alaska, California, Hawaii, Oregon and Washington would see a 0.5% payment cut in 2014, the best deal under CMS’ proposed policies.
 
07/08/2013
CMS proposes to revise the per-visit rates by a market basket update of 2.4%.
07/01/2013
Agencies are bracing themselves for a new wave of face-to-face denials now that two Medicare administrative contractors (MACs) have announced the first in-depth reviews of encounter documentation. But you may be able to recoup lost dollars by making a convincing case for a patient’s skilled need during an appeal.
 
 
07/01/2013
Most home health agencies are severely under-budgeting for how the ICD-10 transition will impact them – or aren’t budgeting yet at all.
 
 
07/01/2013
CMS has published its first draft of the OASIS-C1 form, a revision of the patient assessment instrument designed to accommodate ICD-10 codes.
 
 

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