Home Health Line
12/03/2012
While new therapy provisions in the final 2013 PPS rule allow agencies to bill for a late reassessment visit, CMS instead will no longer cover the visit on which the reassessment should have been conducted.
 
12/03/2012
The latest Grouper update confers case-mix status to several neoplasm codes in the 173.xx range.
11/28/2012
The latest Grouper update confers case-mix status to a range of neoplasm codes.
11/20/2012
The picture shows Olivia Glah, a nurse with VNA Health Group of New Jersey, climbing over trees to get to patients in the aftermath of Hurricane Sandy.
11/19/2012
In the final 2013 PPS rule, CMS creates an informal dispute resolution (IDR) process for Medicare surveys that would offer agencies a chance to submit additional information on specific deficiencies without the cost of a formal appeal.
 
11/19/2012
No one knows yet how many claim denials will be averted by the government’s agreement to stop using a patient’s failure to improve as a reason to deny payment for home health services.
 
11/19/2012
One unanswered question about the recent proposed settlement is when CMS actually will direct Medicare contractors to stop citing failure to improve as a reason for denial.
 
11/19/2012
Think twice about signing a contract with Medicare Advantage (MA) plans and read the fine print before you do.
 
11/19/2012
What if the payer gets tired of paying you full rates for its PFFS beneficiaries, and just starts rejecting your claims in the hope that you’ll stop taking its patients?
 
11/19/2012
Look for discrepancies between case conference notes and the discharge OASIS to ensure you’re getting the credit you deserve for outcome improvements during the episode.
 

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