Benchmarks
08/11/2022
This graph shows the general trends in transactions made in the certified home health and hospice industries, as well as non-medical home care agencies, from 2018 through the second quarter of 2022.
08/11/2022
The most common reason for denial, “Hospice General Inpatient Reduction — Services not Reasonable and Necessary” accounted for 29% or 165 of the denied claims.
08/03/2022
CMS has provided a breakdown by region on the expected impact of increased payments for FY2023.
07/28/2022
Endocrine and wounds involved more visits on average than other PDGM clinical groups, according to data from the Program for Evaluating Payment Patterns Electronic Report (PEPPER).
07/22/2022
Thirty percent of claims denied by CGS under medical review in the first three months of 2022 were tied to skilled nursing services not being medically necessary.
07/15/2022
Coders whose sole responsibility is to assign codes made an average of $54,263. However, when you add in some level of OASIS review duties, salaries increase.
06/15/2022
by: DecisionHealth Staff
The pandemic has brought fresh attention to the development of an emergency plan. A comprehensive risk assessment; testing and training; and an annual review remain frequent survey issues, according to 546 surveys between October 2020 and September 2021 listed in CMS’ Quality, Certification & Oversight Reports (QCOR).
 
 
06/09/2022
Agencies continue to experience condition-level deficiencies around care planning, quality assessment and agency organization.
06/02/2022
Just about half (52%) of coders say they are also responsible for OASIS QA and 42% say they’re responsible for OASIS training and education.
05/27/2022
Comparing clinical groups before and after the start of PDGM.

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