Regulatory Compliance
04/02/2071
In response to the COVID-19 pandemic, which was declared a national emergency, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing a new diagnosis code U07.1 (COVID-19) into the ICD-10-CM code set.
04/02/2071
In response to the COVID-19 pandemic, which was declared a national emergency, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing a new diagnosis code U07.1 (COVID-19) into the ICD-10-CM code set.
09/21/2023
UPIC activity was not suspended during the public health emergency, but agencies got a break with decreased medical review activity. This led to a false sense of security for many who may not be ready now and thus risk payment suspensions and possible paybacks due to findings in post-payment review.
09/13/2023
Recovered ejection fraction (HFrecEF) and improved ejection fraction (HFimpEF) are often used interchangeably as the two can have the same clinical presentation, the Coding Clinic clarified in their Q3 2023 guidance update.
09/13/2023
With just six months left before the Review Choice Demonstration is expected to end, Oklahoma will join the RCD states on Dec. 1.
08/30/2023
Carefully consider whether skilled nursing and therapy visits are appropriate, particularly for recertifications, as the latest results of claims reviews under Targeted Probe and Educate (TPE) note “skilled nursing not medically necessary” was among the top reasons for denial.
08/30/2023
CMS released the Home Health Grouper August 16, which contained acceptable primary diagnoses and the high comorbidity and low comorbidity adjustments for the new FY2024 codes — set to take effect Oct. 1.
08/30/2023
by: Jasmyne Ray
The demand for home health services grows, but the lack of infection prevention oversight presents a problem, according to Devin Jopp, CEO of the Association for Professionals in Infection Control and Epidemiology (APIC). 
08/30/2023
by: Jasmyne Ray
With 30 years of experience in home care and the home health sector, Paul Mestrapa is in familiar territory as president and CEO of Interim HealthCare and its parent company, Caring Brands International.
08/24/2023
Agencies should never attempt to complete any outstanding documentation in instances where a clinician abruptly leaves. 

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