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Assign only I48.1 for a diagnosis of chronic persistent atrial fibrillation, according to Q2 2019 Coding Clinic guidance.
Starting Oct. 1, 2019, coders will have 25 new codes to specifically capture deep tissue injuries (DTIs).
List all diagnoses relevant to the plan of care — not just the six allowed on the OASIS — on the home health claim. Doing so will be a big step toward ensuring rightful payment under the Patient-Driven Groupings Model (PDGM).
Education and communication are the keys to improving timely initiation of care for agencies conducting performance improvement projects (PIPs) on the topic.
While agencies have choices when it comes to which claim review option to select for CMS’ review choice demonstration, they must be extremely cautious when making their selection.
Significant shifts in how to stage a pressure ulcer when scabbing is present and what information can be considered for a discharge OASIS were among hundreds of changes CMS made this month to OASIS Q&A guidance.
by: Megan Batty
When it comes to determining which home health coders make the higher salaries, five factors appear to have the greatest impact on coder compensation.
The Medicare Payment Advisory Commision (MedPac) plans to ask Congress in March to cut Medicare payments to the 20% of agencies with the highest readmission rates among agencies with similar caseloads.
Medicare administrative contractors (MAC) have a green light from CMS to begin denying home health claims, effective Jan. 6, 2014, when the referring physician isn’t listed by national provider identifier (NPI) in CMS’ provider enrollment system, PECOS.
Agencies should look for new guidance in February 2014 when CMS will issue instructions that may tell surveyors how to determine when to impose a sanction and whether they should impose sanctions after one survey.


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