Home Health Line
02/11/2013
You’ll have to start using new Q codes to report the location services were provided and append a modifier for certain plan-of-care changes for episodes starting on or after July 1. Those additions to your claims could lead to more medical reviews and ultimately more denials.
 
02/11/2013
Failure to update your notice of privacy practices to comply with new requirements could result in higher penalties for Health Insurance Portability and Accountability Act (HIPAA) violations.
 
02/11/2013
Your agency may have a state-of-the-art IT system that links clinician laptops and hand-held devices to your patient records and even telemonitoring devices. But you soon could be behind the times if you’re not connected to referring hospitals and physicians.
 
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.
 

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