Home Health Line
05/16/2024
Can you share some key strategies for implementing an effective vendor risk management program that aligns with the HIPAA Security Rule?
05/16/2024
Here is an example of a referral that lacks essential information needed to identify the appropriate PDGM-approved diagnosis. The query example shows how to query for more information to avoid rejected claims.
05/16/2024
This snapshot of the top 10 questionable encounter codes accounted for 24% of all questionable codes assigned during the first 11 days of January 2024.
05/09/2024
Hospice, home health and other post-acute care providers are getting a clearer picture of CMS’ plans for capturing Social Determinants of Health (SDoH) items in the future, with a request for information in the hospice payment rule laying out questions CMS envisions asking patients.
05/09/2024
Use a targeted internal review to spot OASIS assessment patterns so that you can identify problems impacting patient outcomes and flag issues that could lead to medical review challenges down the road.
05/09/2024
New updates to the Medicare Claims Processing Manual address a handful of issues that have caused confusion for agencies, claims processing systems and claim reviewers.
05/09/2024
The growing number of large data breaches is an important reminder that providers must prioritize cybersecurity to protect patient information.
05/09/2024
The latest publicly reported data on Care Compare continues to show national improvement for home health agencies on key OASIS measures. Agencies will want to review these numbers and determine if they’re seeing similar progress or if they’re getting left behind.
05/09/2024
In the 2025 hospice payment update proposed rule, CMS is seeking input on four Social Determinants of Health items that it says “align across post-acute care and hospice care settings,” with the expectation that they will eventually support quality measures.
05/02/2024
Agencies nationwide will want to closely monitor CMS for updates to the Review Choice Demonstration (RCD) as it appears set to expire on May 31, but could be extended in the current six states or expanded to more.

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