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A home health face-to-face encounter can now happen via telehealth under a new CMS waiver.
Agencies should monitor staffing levels to ensure they have enough workers to meet patient needs as the coronavirus continues to spread.
Agencies should pay special attention to therapy documentation in 2020, especially because many industry experts expect therapy utilization and therapy documentation to be the subject of extra CMS scrutiny under the Patient-Driven Groupings Model (PDGM).
Secretary of Health and Human Services Alex Azar declared a public health emergency Jan. 31, in response to the outbreak of the novel coronavirus which started in China and has been identified in several cases in the U.S.
Consider tapping agency clinicians to help pick up the pace and achieve success within the shortened billing cycle under the Patient-Driven Groupings Model (PDGM).
As part of a routine assessment for all patients, agencies should begin conducting a Brief Interview for Mental Status (BIMS) to detect patients’ cognitive impairments.
Agencies shouldn’t lose sight of maintenance therapy in 2020 as the service will continue to play an important role in the care agencies provide under PDGM.
Home health requests for anticipated payment (RAPs) were held by Medicare Administrative Contractors (MACs) in the early days of the new payment model, leaving some agency leaders concerned about timely payment.
As the Patient-Driven Groupings Model (PDGM) gets underway in 2020, many industry experts are concerned that not all agencies will survive the transition to the new payment model.
Agencies need to focus on submitting the OASIS on time to avoid denials or claims getting returned to provider (RTP), resulting in potentially costly delays.


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