Home Health Line
02/22/2024
With increased audit activity around hospice services, agencies should be prepared to handle a variety of audit types, sometimes for the same services, at any given time.
02/22/2024
by: Elizabeth Hogue
Providers may have heard about the importance of Fraud and Abuse Compliance Plans in their organizations, but many providers continue to express uncertainty about their value.
02/22/2024
by: DecisionHealth Staff
Terminal diagnosis tops list of denials for new hospices One of the most frequent denial reason for new hospices under pre-payment review is “Documenation submitted doesn’t support prognosis of six months or less.” That’s according to the Palmetto GBA’s medical review results from July to September 2023. They looked at 52 hospice providers from six states: Florida, Georgia, Indiana, New Mexico, Ohio and South Carolina.
02/15/2024
Select QAPI items that affect the most patients, are the most critical or have the least amount of improvement needed to move the needle to show the fastest positive results.
02/15/2024
Ensuring that your clinicians understand what should be included in their wound care documentation can help to reduce the number of claims denied due to lack of medical necessity.
02/15/2024
With more specific codes available for Parkinson’s and COPD, one Medicare Administrative Contractor is shifting the codes it’s using for Targeted Probe & Educate reviews.
02/15/2024
Agencies that practice more preventative care through helping patients gain access to healthier food and empowering them to follow better food habits, will impact the number of patients admitted to the hospital.
02/15/2024
The CDC posted updated 2024 ICD-10-CM guidelines on Jan. 22, which included a sequencing update for sepsis due to postprocedural infection.
02/15/2024
Nearly 15% of Medicare beneficiaries ages 65 to 74 reported being food insecure in CMS’ most recent Financial Well-Being Report for 2021. The report included beneficiaries living in the community.
02/15/2024
This tool may be used as a guide to assist agencies in building the framework for a strong, compliant QAPI program.

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