Home Health Line
11/25/2013
Provide physicians’ practices with detailed face-to-face examples of narratives they can write to justify patients’ homebound status and need for home health services in the form of templates or by alerting them to a web-based tool that walks them through it.
 
11/25/2013
Attract qualified caregivers by making it easier for them to view job descriptions and submit brief, initial job applications using their cell phones or other mobile devices.
 
11/25/2013
For the second time, CMS has delayed an edit to reject Medicare Advantage (MA) plan claims that do not have a HIPPS code for home health services, according to the National Association for Home Care & Hospice (NAHC).
11/25/2013
by: Josh Poltilove
Medicare administrative contractor Palmetto GBA’s most recent review of the medical ncecessity of claims with HIPPS codes 2CGK and 1BGP indicates the extent of the issues agencies are having with face-to-face documentation.
11/18/2013
Medicare administrative contractors (MAC) have a green light from CMS to begin denying home health claims, effective Jan. 6, 2014, when the referring physician isn’t listed by national provider identifier (NPI) in CMS’ provider enrollment system, PECOS.
 
 
11/18/2013
Agencies should look for new guidance in February 2014 when CMS will issue instructions that may tell surveyors how to determine when to impose a sanction and whether they should impose sanctions after one survey.
 
 
11/18/2013
Prepare thoroughly for a hearing at the Administrative Law Judge (ALJ) level to avoid delays because, as HHL went to print, the average processing time for appeals was already 201 days.
11/18/2013
Encourage your staff to take a new free online course to detect the potential for and avert workplace violence to avoid potential penalties for safety violations and workers’ compensation claims.
 
 
11/18/2013
The Joint Commission is emphasizing the importance of policies to protect private duty caregivers from smoking-related health and safety risks they might face in clients’ homes.
 
 
11/18/2013
Roughly 70% of the denials Medicare administrative contractor (MAC) Palmetto GBA issues are for face-to-face encounter requirements not met, new data show.

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