Home Health Line
10/02/2025
Six months into public reporting on the Discharge Function Score, agencies nationally have shown that new attention to the GG items is paying off.
10/02/2025
Coders may have a way to capture surgical wounds that are temporarily left open at the end of a procedure if a proposal is approved as presented during the September ICD-10 Coordination and Maintenance Committee meeting.
09/25/2025
Stress the importance of physicians dating their signatures on orders to avoid a common claim denial under medical review that can lead to payment losses for care your agency has already provided.
09/25/2025
With the gap in care, consider whether what was being addressed during a face-to-face visit two months ago is the same issue you're agency is seeing the patient for now. It might meet timeline requirements, but might not adequately address the reason for home health.
09/25/2025
Agencies that implement strategies to mitigate these concerns in the plan of care could see higher levels of patient engagement and adherence with the plan of care — improving the odds of a successful discharge.
09/25/2025
While providers shouldn’t expect changes to the hospice payment system anytime soon, there could be some relief on the way for those who provide certain specialized services related to ESRD and cancer.
09/25/2025
Agencies that are ignoring or neglecting medical review requests are making it easy for MACs to deny claims, according to the latest data from Palmetto GBA.
09/18/2025
With the GG items on the OASIS, this is not a to-do list. You don’t have to see the patient do every one of these things. You can make some clinical inferences about what you see and hear.
09/18/2025
Avoid costly and hard-to-overturn denials by highlighting changes in patient conditions and how these changes impact the need for skilled care. Using general language or failing to note changes in the patient’s condition throughout clinical documentation could lead your agency to spend money on care that will get clawed back under medical review.
09/18/2025
Leverage the expertise of your clinical managers to assist staff and streamline the transition to the HOPE tool to boost efficiencies and ensure timely submission.

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