by: DecisionHealth Staff
Agencies are struggling with documentation requirements around the plan of care and certification according to pre-payment Targeted Probe and Educate (TPE) denials from October to December 2023. The results were based on 546 denials in three states: Louisiana, Oklahoma and South Carolina.
This snapshot of the top 10 questionable encounter codes accounted for 24% of all questionable codes assigned during the first 11 days of January 2024.
The latest publicly reported data on Care Compare continues to show national improvement for home health agencies on key OASIS measures. Agencies will want to review these numbers and determine if they’re seeing similar progress or if they’re getting left behind.
Poor clinician assessment documentation narrowly took the top spot among documentation issues that have had the biggest negative impact on coder productivity.
The latest National Sample Survey of Registered Nurses, released in March, found a net increase of 400,000 licensed RNs since the last national survey in 2018. But the total number of RNs in home health and hospice declined.
Most home health coders are tackling more than 10 charts a day, according to the results of DecisionHealth’s 2024 Home Health Coders’ Productivity Survey.
The proposed hospice rate update percentage for fiscal year 2025 is 2.6%, an estimated increase of $705 million from fiscal year 2024.
Home health aide visits have declined more than 32% over the first three years of PDGM. That’s more than twice the decrease in the total
number of visits in a 30-day period.
Medicare fee-for-service margins for freestanding home health agencies dropped year-over-year, but was still higher than 20%, according to analysis by MedPAC looking at Medicare home health cost reports.
Aftercare following joint replacement surgery was the top primary for traditional Medicare 30-day periods.


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