Regulatory Compliance
02/12/2020
Both CMS and the HHS Office of Inspector General (OIG) say the drive to connect every Medicare beneficiary with their new Medicare beneficiary identifier (MBI), which has been required for claims since Jan. 1, has been successful.
02/12/2020
Following a recent DecisionHealth webinar on compliance following implementation of the Patient-Driven Groupings Model, agencies asked questions of industry expert Robert Markette, an attorney with Indianapolis-based Hall, Render, Killian, Heath & Lyman. Here are some of his answers.
02/12/2020
An issue with Illinois pre-claim review submissions has been resolved, Medicare Administrative Contractor (MAC) Palmetto GBA announced.
02/05/2020
Agencies should conduct regular billing audits to avoid late claims and lost revenue.
02/05/2020
No home health agency is immune from a HIPAA investigation. But how a provider responds to one can make a big difference in its outcome. Here are nine tips to help you out.
02/05/2020
Following a recent DecisionHealth webinar about succeeding with a wound care program under the Patient-Driven Groupings Model (PDGM), agencies asked questions of expert Dea Kent, director of quality assurance for Indianapolis-based Community Health Network. Below are some of her answers.
02/05/2020
The number of agencies earning 4.5 and five stars in the quality of care star ratings dipped slightly in the most recent quarterly refresh of Home Health Compare.
01/30/2020
When responding to M0104 (Date of referral) clinicians should enter the date the agency received a valid referral, and must keep in mind that a primary diagnosis eligible for reimbursement under the Patient-Driven Groupings Model (PDGM) is not necessarily required for a referral to be considered valid.
01/30/2020
Even with recent emergency preparedness requirement revisions designed to reduce burden, agencies find complying with the requirements challenging.
01/30/2020
When agencies encounter vaping-related injury or illness cases in a clinical setting, coders are to report the new emergency vaping code, U07.0 as the primary diagnosis, according to newly issued tabular guidance for the code from the ICD-10-CM Coordination and Maintenance Committee.

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