Home Health Line
05/06/2013
Agencies that failed to submit 100 or more final claims on time because they can’t get face-to-face encounter documentation, have billing system problems or have personnel issues may never receive their request for anticipated payment (RAP) dollars.
 
05/06/2013
Get ready to change your coding practices: CMS wants hospices to stop using vague debility and adult failure to thrive codes as the principal diagnosis, it says in the proposed 2014 wage index. Noncompliance would cause your claims to be returned to provider until you change the code assignment.
 
05/06/2013
Agencies stepping up their use of licensed practical nurses (LPNs) to decrease visit costs could be at greater risk of costly survey citations.
 
05/06/2013
Several conditions of participation saw significant increases in citations this year, including G202 (Home health aide services) and G242 (Evaluation of the agency’s program).
 
05/06/2013
Expect hospitals to become even more interested in how you can help them reduce readmissions: CMS’ proposed rule for inpatient payments in fiscal 2014 would double the payment reduction hospitals receive when certain patients return within 30 days.
 
04/29/2013
Prepare for more record requests from recovery auditors (RACs): Starting in 2014, a new RAC will focus its attention exclusively on home health, hospice and durable medical equipment providers.
 
04/29/2013
You can still consider a resumption of care timely and answer “yes” on M2250 (Plan of care synopsis) even if you find out about a hospital discharge more than two days after it happened. That’s good news considering an untimely resumption also can drag down scores on publicly reported process measures.
 
04/29/2013
The ambulation outcome measure inched up by one percentage point to 59% in CMS’ April 18 update of the Home Health Compare website.
 
04/29/2013
A revamped version of the HHS Office of Inspector General’s (OIG) voluntary provider Self-Disclosure Protocol is designed to provide more guidance to agencies about what to report from the get-go and to shorten the process to less than a year.
 
04/29/2013
The data below show the average number of clinical case-mix points captured by agencies on OASIS items in 2010, 2011 and 2012.
 

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