Home Health Line
02/11/2013
Don’t rely on your Medicare administrative contractor (MAC) to adjust claims for late episode payments. Those payments could make a difference of hundreds of dollars per episode.
 
02/11/2013
Last year marked the first time CMS’ recovery auditors (RACs) showed interest in home health, and nearly 10% of agencies report receiving a documentation request from them.
02/11/2013
Get ready for more Medicare recoupment, this time for past services provided to “aliens not lawfully present in the U.S.” But if you’re trying to identify unlawfully-present beneficiaries proactively to prevent future recoupment, you may be out of luck. 
 
02/11/2013
Creating “community coalitions” could save Medicare money on readmissions, according to results from a recent Quality Improvement Organization (QIO) project.
 
02/11/2013
Below is a list of the components that make for a successful discharge, as identified by agencies participating in Project RED.
02/11/2013
Use this tool to guide your investigation and subsequent risk assessment when a breach occurs.
 
02/04/2013
Now that a court has approved the Obama administration’s proposed settlement on the “improvement standard,” agencies are treading cautiously as experts warn about the possibility of ongoing denials and future payment cuts.
 
02/04/2013
Two new physician codes for transitional care management (TCM) services provide you with an opportunity to position yourself as an educator and get more referrals. The codes require physicians to help patients transition into the community after a facility discharge – for example by communicating with and referring to local home health agencies.
 
02/04/2013
Use the date of discharge from inpatient status and not the date the patient left observation status to complete M1005 (Inpatient discharge date).
 
02/04/2013
One home health agency’s response to the hospital readmission requirement: Create a comprehensive care-transition program to help hospitals minimize the risk for penalties.
 

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