Home Health Line
05/23/2011

A handful of common billing errors are causing delayed payments for home health agencies. Productivity also suffers, as staff spend hours going through returned claims to correct them, New England’s

05/23/2011

When you bill Medicare home health for a patient who receives hospice services elsewhere, you must make sure the home health treatment is not related to the patient’s terminal diagnosis.

05/23/2011
The proposed accountable care organization (ACO) rule from CMS has come under heavy criticism from the American Hospital Association and 10 large multispecialty groups, including the Mayo Clinic (HHL 4/11/11).
05/23/2011

Your clinicians could face fines of hundreds of dollars and even jail time if they fail to follow proper procedure when a patient dies.

05/23/2011

Therapy administered by a physician during a home health episode will no longer count in favor of agencies when CMS rebases home health rates in 2014, as required under health

05/23/2011
The tool educates physicians on basic criteria for home health eligibility, such as homebound status and medical necessity for skilled services. CMS expects physicians to use those criteria in narratives on the face-to-face encounter documentation form.
05/16/2011

An error in CMS’ outlier cap calculation means many agencies ended up losing outlier payments they were entitled to, CMS announced in a May 6 transmittal.

05/16/2011

Several home health agencies have experienced dramatic improvements in compliance with face-to-face encounter documentation requirements by providing tools to help physicians understand criteria for homebound status.

05/16/2011

You don’t need to schedule an extra visit when one therapy discipline doesn’t see a multi-discipline patient between the 13th and 19th visit, CMS states in new therapy Q&As issued

05/16/2011

Accountable care organizations (ACOs) and care-transition programs promise an integrated effort by physicians, hospitals and post-acute providers to reduce costly hospital readmissions, but many home health agencies have successfully reduced

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