Regulatory Compliance
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.
Agencies must communicate now with their electronic medical record (EMR) vendors to see if they can submit a zero-dollar RAP in January and if the estimation amount for any payments or penalties is accurate.
The October 2020 update to public data on home health agencies will be the last until January 2022.
As we cope with the COVID-19 pandemic, it’s important to take a few extra measures to protect your organization, your patients and your clients-as well as your data.
CMS clarified in the October OASIS Q&As that the waiver related to therapy and nursing evals allows for therapists to perform their discipline-specific evaluations and complete both the initial and SOC comprehensive assessments with OASIS as long as it is a case where both nursing and therapy are ordered.
The U.S. Department of Health and Human Services has made $20B more available for providers as part of phase 3 of the Provider Relief Fund (PRF).
Answers to these questions were provided by Joe Osentoski, BAS, RN-BC, consultant, in Madison Heights, Mich.
The fourth quarter 2020 Coding Clinic guidance update released Oct. 1 included guidance on the newly implemented codes for pathological fractures.
Agencies should consider implementing a Clinical Documentation Improvement (CDI) program in order to help paint a more detailed picture of a patient’s medical history.
The following shows the difference between a non-compliant query which “leads” the provider to a specific diagnosis versus a complaint query which does not “lead” the provider to any one diagnosis and allows for open-ended responses.


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