Home Health & Hospice Week
OASIS:
Follow These 9 Steps To OASIS C Preparation Success
Make the most of your last days before the new version hits. In a matter of days, your ha... Read more
Follow These 9 Steps To OASIS C Preparation Success
Make the most of your last days before the new version hits. In a matter of days, your ha... Read more
Avoid These Pressure Ulcer Land Mines On OASIS C
Best bet: Start by learning what stage each item asks about. You should be hitting the pr... Read more
Best bet: Start by learning what stage each item asks about. You should be hitting the pr... Read more
Regulations:
Make The Manual Your OASIS C Implementation Bible
Give each clinician a copy of Chapter 3 if you want to survive the transition. If you've ... Read more
Make The Manual Your OASIS C Implementation Bible
Give each clinician a copy of Chapter 3 if you want to survive the transition. If you've ... Read more
Fraud & Abuse:
Feds Bring Enforcement HEAT To New Areas
Fraud busts show just how serious regulators are. Fla., or Baton Rouge, La., get ready fo... Read more
Feds Bring Enforcement HEAT To New Areas
Fraud busts show just how serious regulators are. Fla., or Baton Rouge, La., get ready fo... Read more
Patient Satisfaction:
Prepare To Tackle CAHPS Challenges In 2010
Patient selection, survey length top list of hurdles for the new patient satisfaction too... Read more
Prepare To Tackle CAHPS Challenges In 2010
Patient selection, survey length top list of hurdles for the new patient satisfaction too... Read more
Patient Satisfaction:
CAHPS Survey Patient Criteria
To be eligible for Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys... Read more
CAHPS Survey Patient Criteria
To be eligible for Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys... Read more
Hospice:
Set Benchmarks Now For a Better Financial Future
Your after hours calls could be sending your hospice a message. Three years from now, you... Read more
Set Benchmarks Now For a Better Financial Future
Your after hours calls could be sending your hospice a message. Three years from now, you... Read more
Industry Notes:
Say Hello To Your New Fraud Contractor
New ZPIC starts Medicare program integrity functions in South. Don't be surprised if you ... Read more
Say Hello To Your New Fraud Contractor
New ZPIC starts Medicare program integrity functions in South. Don't be surprised if you ... Read more
Prospective Payment System:
Outlier Cap Will Hurt Diabetic Patients, Cost Medicare Money,Providers Protest
Watch out: 10% cap could affect your claims as early as next month. Home health agencies ... Read more
Outlier Cap Will Hurt Diabetic Patients, Cost Medicare Money,Providers Protest
Watch out: 10% cap could affect your claims as early as next month. Home health agencies ... Read more
Reimbursement:
Minimize Your Outlier Risk With These 7 Steps
Discharging patients may open you up to abandonment charges. Tough times are ahead for ho... Read more
Minimize Your Outlier Risk With These 7 Steps
Discharging patients may open you up to abandonment charges. Tough times are ahead for ho... Read more
OASIS:
OASIS C Is Ready To Roll -- Are You?
Look for changes to OASIS login, HH ABN in new year, CMS says in Open Door Forum. In a fe... Read more
OASIS C Is Ready To Roll -- Are You?
Look for changes to OASIS login, HH ABN in new year, CMS says in Open Door Forum. In a fe... Read more
Education:
Tap These Free Resources For OASIS C Prep
Plus, sign up for Eli teleconferences for in-depth OASIS C info. Transitioning to OASI... Read more
Tap These Free Resources For OASIS C Prep
Plus, sign up for Eli teleconferences for in-depth OASIS C info. Transitioning to OASI... Read more
Hospice:
Use This Guidance To Report Time On Hospice Claims
Feds also mull hospice coverage of ambulance transport, they say in forum. Don't miss the... Read more
Use This Guidance To Report Time On Hospice Claims
Feds also mull hospice coverage of ambulance transport, they say in forum. Don't miss the... Read more
Industry Notes:
OIG Shines Fraud Spotlight On DME
HHAs, hospices also get regulators' attention. In an environment of increased scrutiny fo... Read more
OIG Shines Fraud Spotlight On DME
HHAs, hospices also get regulators' attention. In an environment of increased scrutiny fo... Read more
Patient Satisfaction:
Get Started On CAHPS Or Risk Your Reimbursement
The 2 percent reduction may be only the start of your worries. Most home health agencies ... Read more
Get Started On CAHPS Or Risk Your Reimbursement
The 2 percent reduction may be only the start of your worries. Most home health agencies ... Read more
Compliance:
Is Opting Out Of CAHPS Right For Your HHA?
You may decline to use the patient satisfaction survey for now, but know your risks first... Read more
Is Opting Out Of CAHPS Right For Your HHA?
You may decline to use the patient satisfaction survey for now, but know your risks first... Read more
Therapy:
Combat Therapy Blues With Mentoring Program
Tap your A+ players to lead new hires. Tired of a high therapist turnover or frustrated, ... Read more
Combat Therapy Blues With Mentoring Program
Tap your A+ players to lead new hires. Tired of a high therapist turnover or frustrated, ... Read more
Reimbursement:
Use These 5 Tips For M&E Success
Make sure docs see why it's worthwhile to fulfill the new requirement. Medicare's crackdo... Read more
Use These 5 Tips For M&E Success
Make sure docs see why it's worthwhile to fulfill the new requirement. Medicare's crackdo... Read more
Hospice:
Are You Helping Your Minority Hospice Patients Direct Their End-Of-Life Care?
Racial disparities affect care for the dying, new study shows. Black cancer patients may ... Read more
Are You Helping Your Minority Hospice Patients Direct Their End-Of-Life Care?
Racial disparities affect care for the dying, new study shows. Black cancer patients may ... Read more
Industry Notes:
Don't Count On Outliers Forever
CMS still may eliminate the PPS payment option entirely. Home health agencies smarting at... Read more
Don't Count On Outliers Forever
CMS still may eliminate the PPS payment option entirely. Home health agencies smarting at... Read more
Reimbursement:
CMS Cracks Down On M&E Services
Get ready for another physician headache. If you furnish management and evaluation to pat... Read more
CMS Cracks Down On M&E Services
Get ready for another physician headache. If you furnish management and evaluation to pat... Read more
Referrals:
Avoid Holiday Gift-Giving Landmines With These 7 Steps
You can't ignore the rest of the year. The holidays can present one of the biggest compli... Read more
Avoid Holiday Gift-Giving Landmines With These 7 Steps
You can't ignore the rest of the year. The holidays can present one of the biggest compli... Read more
Compliance:
Don't Forget Patient, Non-Doc Gifts In Your Compliance Efforts
Use the anti-kickback statute to guide you. When it's time to spread holiday cheer, many ... Read more
Don't Forget Patient, Non-Doc Gifts In Your Compliance Efforts
Use the anti-kickback statute to guide you. When it's time to spread holiday cheer, many ... Read more
Therapy:
Use Your Therapists To Reduce Hospital Readmissions
Patient education is just as important as your therapists' education. With your patient o... Read more
Use Your Therapists To Reduce Hospital Readmissions
Patient education is just as important as your therapists' education. With your patient o... Read more
Fraud & Abuse:
Prepare For More Fraud Scrutiny
Medicare payment error report gives feds ammunition to tighten oversight. A new way to co... Read more
Prepare For More Fraud Scrutiny
Medicare payment error report gives feds ammunition to tighten oversight. A new way to co... Read more
Industry Notes:
Physician Number Edits To Slam DME Claims In New Year
Are the NPIs on your claims valid? Suppliers may start the new year off with severely res... Read more
Physician Number Edits To Slam DME Claims In New Year
Are the NPIs on your claims valid? Suppliers may start the new year off with severely res... Read more
Prospective Payment System:
More Cuts For Case Mix Creep To Hit HHAs
Just how much the feds will dock you for perceived upcoding may depend on the health ref... Read more
More Cuts For Case Mix Creep To Hit HHAs
Just how much the feds will dock you for perceived upcoding may depend on the health ref... Read more
OASIS:
Consider These 5 OASIS C Changes You'll Likely Need
Be sure your policies and procedures don’t handicap your clinicians. Your OASIS ... Read more
Consider These 5 OASIS C Changes You'll Likely Need
Be sure your policies and procedures don’t handicap your clinicians. Your OASIS ... Read more
Legislation:
Brace For Big Home Care Cuts In Reform Package
Home care providers keep a close eye on Senate. The universal health care legislation win... Read more
Brace For Big Home Care Cuts In Reform Package
Home care providers keep a close eye on Senate. The universal health care legislation win... Read more
Industry Notes:
Prepare For Bidding Grandfathering Headaches
Physician payment rule spells out requirements for suppliers. Even if you don't win a con... Read more
Prepare For Bidding Grandfathering Headaches
Physician payment rule spells out requirements for suppliers. Even if you don't win a con... Read more
Reimbursement:
PEP Problem Takes Money Out Of Your Pocket Until Spring
Correction for pricey problem set for next March. Don't expect to receive correct partial... Read more
PEP Problem Takes Money Out Of Your Pocket Until Spring
Correction for pricey problem set for next March. Don't expect to receive correct partial... Read more
Prospective Payment System:
Final HH Rate Update Offers A Few Surprises
Industry group still not happy about case mix creep adjustment. Your agency will soon see... Read more
Final HH Rate Update Offers A Few Surprises
Industry group still not happy about case mix creep adjustment. Your agency will soon see... Read more
Patient Satisfaction:
CMS Pushes CAHPS Payment Back One Year
Delay doesn't mean you can put off compliance. The final rate update comes with many chan... Read more
CMS Pushes CAHPS Payment Back One Year
Delay doesn't mean you can put off compliance. The final rate update comes with many chan... Read more
Compliance:
FTC Postpones Red Flag Rule -- Yet Again
Get ready to play wait and see, but don't underestimate the benefit of compliance. Rememb... Read more
FTC Postpones Red Flag Rule -- Yet Again
Get ready to play wait and see, but don't underestimate the benefit of compliance. Rememb... Read more
OASIS:
Turn To The Manual For OASIS C Compliance
Chapter 3 will be your survival guide. Listen up: There's a new acronym you'll need to le... Read more
Turn To The Manual For OASIS C Compliance
Chapter 3 will be your survival guide. Listen up: There's a new acronym you'll need to le... Read more
Hospice:
Smooth Out Any Wrinkles In Your Bereavement Program
Use this list to create a comprehensive approach. If you're providing hospice services, t... Read more
Smooth Out Any Wrinkles In Your Bereavement Program
Use this list to create a comprehensive approach. If you're providing hospice services, t... Read more
Industry News:
Agencies Are Embracing Healthcare Technology
Study finds nearly half of agencies use mobile technology to provide quality service. ... Read more
Agencies Are Embracing Healthcare Technology
Study finds nearly half of agencies use mobile technology to provide quality service. ... Read more
Fraud & Abuse:
Don't Let A Subcontractor's False Claims Tank Your Agency's Compliance
Audit and monitor your staffing arrangements -- before the feds do. Just when you... Read more
Don't Let A Subcontractor's False Claims Tank Your Agency's Compliance
Audit and monitor your staffing arrangements -- before the feds do. Just when you... Read more
Hospice:
3 Strategies Ensure Your Pay For The Right Meds
The wrong med coverage could sock it to your bottom line. While some hospice decisions ar... Read more
3 Strategies Ensure Your Pay For The Right Meds
The wrong med coverage could sock it to your bottom line. While some hospice decisions ar... Read more
OASIS:
Expect New Tools For Measuring Outcomes
Further information is on the way. The OASIS C data set is a drastic change from the OASI... Read more
Expect New Tools For Measuring Outcomes
Further information is on the way. The OASIS C data set is a drastic change from the OASI... Read more
Diagnosis Coding:
Watch For These Exceptions To Accurately Code Any Late Effects
Late effect of CVA turns guidelines upside down. Think there's a time cap on reporting a ... Read more
Watch For These Exceptions To Accurately Code Any Late Effects
Late effect of CVA turns guidelines upside down. Think there's a time cap on reporting a ... Read more
Reimbursement:
Let Your MAC Communicate With Your Billing Companies
Prepare ahead of time by designating the billing company on your enrollment form. You mus... Read more
Let Your MAC Communicate With Your Billing Companies
Prepare ahead of time by designating the billing company on your enrollment form. You mus... Read more
Industry News:
Obama Vows To Protect Medicare
Seniors get reassurance in speech before Joint Session of Congress. You can reassure pati... Read more
Obama Vows To Protect Medicare
Seniors get reassurance in speech before Joint Session of Congress. You can reassure pati... Read more
Regulations:
Squeeze Out Unnecessary Assisted Insulin Injections, OIG Warns
Here's how to keep your agency out of federal crosshairs. If you're providing too much he... Read more
Squeeze Out Unnecessary Assisted Insulin Injections, OIG Warns
Here's how to keep your agency out of federal crosshairs. If you're providing too much he... Read more
Compliance:
Spot Red-Flag Weaknesses Before Thieves Do
Test your staffers' savvy with these 5 scenarios. Your Red Flags Rule extension is almost... Read more
Spot Red-Flag Weaknesses Before Thieves Do
Test your staffers' savvy with these 5 scenarios. Your Red Flags Rule extension is almost... Read more
Hospice:
Shatter 7 Top Myths Giving Hospice A Bad Rep
Use this list to steer your community education. The good news about ever-persistent hosp... Read more
Shatter 7 Top Myths Giving Hospice A Bad Rep
Use this list to steer your community education. The good news about ever-persistent hosp... Read more
Clip & Save:
Point Vaccines Toward Your Neediest Patients
This form will help you make the most of the tools at your disposal. It's all over the ne... Read more
Point Vaccines Toward Your Neediest Patients
This form will help you make the most of the tools at your disposal. It's all over the ne... Read more
Coding:
Look For Low Vision To Code Case Mix Correctly
Tip: Start by answering M0390. When you're in the market for more case mix points, look n... Read more
Look For Low Vision To Code Case Mix Correctly
Tip: Start by answering M0390. When you're in the market for more case mix points, look n... Read more
Industry News:
Update Your Billing Address -- Or Lose Your Rights
CMS instructs MACs to suss out sham health care operations. Afavorite tactic of some Medi... Read more
Update Your Billing Address -- Or Lose Your Rights
CMS instructs MACs to suss out sham health care operations. Afavorite tactic of some Medi... Read more
Regulatory Update:
Here's The Latest On MACs,RACs And CoPs
Emphasis on documentation is crucial to your survival. You don't have take denials lying ... Read more
Here's The Latest On MACs,RACs And CoPs
Emphasis on documentation is crucial to your survival. You don't have take denials lying ... Read more
Hospice:
Optimize Comfort & Quality Of Life With This Help
Include family teaching, pain, odor control, and more in a protocol to help reduce ulcer ... Read more
Optimize Comfort & Quality Of Life With This Help
Include family teaching, pain, odor control, and more in a protocol to help reduce ulcer ... Read more
Management:
Gauge Staffers'Morale With This Survey
Don't wait for a confrontation to address staff members' problems. Every workplace is fra... Read more
Gauge Staffers'Morale With This Survey
Don't wait for a confrontation to address staff members' problems. Every workplace is fra... Read more
Coding:
Add These ICD-9 Updates To Your Diagnosis Repertoire
Some skin cancers will no longer earn any NRS points. The new and revised 2010 ICD-9 code... Read more
Add These ICD-9 Updates To Your Diagnosis Repertoire
Some skin cancers will no longer earn any NRS points. The new and revised 2010 ICD-9 code... Read more
Regulations:
CMS Sets Limits On Recouping Overpayments
Follow this advice to keep the payment you deserve. You now have more time to appeal a Me... Read more
CMS Sets Limits On Recouping Overpayments
Follow this advice to keep the payment you deserve. You now have more time to appeal a Me... Read more
Industry News:
Medicare Overpaying Part D Sponsors By The Thousands
Inaccurate bids driving up patients' premiums, report finds. Part D sponsors owe Medicare... Read more
Medicare Overpaying Part D Sponsors By The Thousands
Inaccurate bids driving up patients' premiums, report finds. Part D sponsors owe Medicare... Read more
Compliance:
CMS Clarifies How To Bill For Skilled Services
But don't expect proposed changes to clear up your confusion. Figuring out which services... Read more
CMS Clarifies How To Bill For Skilled Services
But don't expect proposed changes to clear up your confusion. Figuring out which services... Read more
Audits:
Study These Target Areas To Avoid RAC Scrutiny
Get the scoop on 'issues' for Northeast and Midwest regions. It's official, providers in ... Read more
Study These Target Areas To Avoid RAC Scrutiny
Get the scoop on 'issues' for Northeast and Midwest regions. It's official, providers in ... Read more
Case Study:
Escape Emergency Planning Pitfalls With This On-The-Ground Advice
Here's how one state's emergency planning is already paying off. If you're worried about ... Read more
Escape Emergency Planning Pitfalls With This On-The-Ground Advice
Here's how one state's emergency planning is already paying off. If you're worried about ... Read more
OASIS:
Use This Flu Vaccination Guide To Keep Your Program In Tip-Top Shape
Here's how to correctly track and report your vaccination success. You may think you don'... Read more
Use This Flu Vaccination Guide To Keep Your Program In Tip-Top Shape
Here's how to correctly track and report your vaccination success. You may think you don'... Read more
Coding:
Here's How To Pinpoint The Correct Dementia Dx
Hint: You'll never report 294.1 alone. If your patients' physicians are like most, they d... Read more
Here's How To Pinpoint The Correct Dementia Dx
Hint: You'll never report 294.1 alone. If your patients' physicians are like most, they d... Read more
Hospice:
Get On The Same Page With Nursing Homes About Wound Care
Cooperation can be a 'win-win' for everyone. The last thing you want to have happen is fo... Read more
Get On The Same Page With Nursing Homes About Wound Care
Cooperation can be a 'win-win' for everyone. The last thing you want to have happen is fo... Read more
Industry News:
Alzheimer's Patients May Have New Hope
Telltale proteins may single out which patients will get full-blown disease. A combinatio... Read more
Alzheimer's Patients May Have New Hope
Telltale proteins may single out which patients will get full-blown disease. A combinatio... Read more
Compliance:
New CMS Initiatives Take Aim At Medicare Fraudsters
But your agency may be the one that pays the ultimate price. The Centers for Medicare &am... Read more
New CMS Initiatives Take Aim At Medicare Fraudsters
But your agency may be the one that pays the ultimate price. The Centers for Medicare &am... Read more
Audits:
Root Out Your Bad Habits Before Regulators Do
Use these tips to create a self-audit strategy that works. The last thing your agency nee... Read more
Root Out Your Bad Habits Before Regulators Do
Use these tips to create a self-audit strategy that works. The last thing your agency nee... Read more
Emergency Planning:
Partner With Emergency Response Teams To Halt H1N1's Spread
You may become your patients' first and only line of defense. Home care agencies and hosp... Read more
Partner With Emergency Response Teams To Halt H1N1's Spread
You may become your patients' first and only line of defense. Home care agencies and hosp... Read more
OASIS:
Don't Let OASIS C Play Foul With Your Payments
Expect heavy surveyor scrutiny of new assessments and interventions. If you're chomping a... Read more
Don't Let OASIS C Play Foul With Your Payments
Expect heavy surveyor scrutiny of new assessments and interventions. If you're chomping a... Read more
Coding:
Dispel These 2 Common V57.x Myths
Make sure you don't upcode for proximate cause. When you're coding for therapy, V57.x (Ca... Read more
Dispel These 2 Common V57.x Myths
Make sure you don't upcode for proximate cause. When you're coding for therapy, V57.x (Ca... Read more
Industry News:
OIG Homes In On Hospice Claims In Nursing Facilities
The amount of noncompliance might come as a surprise. Medicare paid approximately $1.8 bi... Read more
OIG Homes In On Hospice Claims In Nursing Facilities
The amount of noncompliance might come as a surprise. Medicare paid approximately $1.8 bi... Read more
Reimbursement:
Use Accurate Documentation To Avoid Transfer Disputes
If you don't document your steps, you could kiss your payment goodbye. Ask any agency whi... Read more
Use Accurate Documentation To Avoid Transfer Disputes
If you don't document your steps, you could kiss your payment goodbye. Ask any agency whi... Read more
Clip & Save:
Follow This Checklist To Keep Your Episodes From Overlapping
And make sure you get all the payment you've earned. The last thing you need is to lose o... Read more
Follow This Checklist To Keep Your Episodes From Overlapping
And make sure you get all the payment you've earned. The last thing you need is to lose o... Read more
Patient Satisfaction:
You Can Revise CAHPS Tool To Fit Your Needs, CMS Says
Get started now to eliminate survey problems down the road. If you're dreading the 2011 i... Read more
You Can Revise CAHPS Tool To Fit Your Needs, CMS Says
Get started now to eliminate survey problems down the road. If you're dreading the 2011 i... Read more
Hospice:
Here's Your Best Bet For Managing Additional Development Requests
Use this expert advice to beat claim denials and worse. Mastering ADRs can move your hosp... Read more
Here's Your Best Bet For Managing Additional Development Requests
Use this expert advice to beat claim denials and worse. Mastering ADRs can move your hosp... Read more
Coding:
Catch These OASIS Coding Discrepancies To Stay Out Of The Spotlight
Your software might help, but your coding staffers are crucial. A streamlined coding proc... Read more
Catch These OASIS Coding Discrepancies To Stay Out Of The Spotlight
Your software might help, but your coding staffers are crucial. A streamlined coding proc... Read more
Industry News:
Electronic Health Records Shouldn't Hinder Surveyors
Make sure your surveyors have access to patient files -- even the ones stored electr... Read more
Electronic Health Records Shouldn't Hinder Surveyors
Make sure your surveyors have access to patient files -- even the ones stored electr... Read more
HIPAA:
Update Patients On Privacy And Security Breaches.
Interim final rule outlines your responsibility for protecting patients' data. You know t... Read more
Update Patients On Privacy And Security Breaches.
Interim final rule outlines your responsibility for protecting patients' data. You know t... Read more
Regulations:
Create A Policy To Take Back Patients' Unused Controlled Drugs Safely
You can protect family members from drugrelated accidents after a patient's death. Scenar... Read more
Create A Policy To Take Back Patients' Unused Controlled Drugs Safely
You can protect family members from drugrelated accidents after a patient's death. Scenar... Read more
DMEPOS:
CMS Pushes Suppliers To Act On Non-Accreditation.
Act now to avoid a year-long revocation of billing privileges. The deadline for DMEPOS su... Read more
CMS Pushes Suppliers To Act On Non-Accreditation.
Act now to avoid a year-long revocation of billing privileges. The deadline for DMEPOS su... Read more
Hospice:
Here's How Providers Can Quickly Certify Hospice Patients' Terminal Illnesses.
Take the guesswork out of the physician narrative requirement. You have less than one mon... Read more
Here's How Providers Can Quickly Certify Hospice Patients' Terminal Illnesses.
Take the guesswork out of the physician narrative requirement. You have less than one mon... Read more
OASIS:
Here Are 2 Fall Risks You May Have Overlooked.
Add these risk factors to your agency's falls risk assessment. If your patient uses a wal... Read more
Here Are 2 Fall Risks You May Have Overlooked.
Add these risk factors to your agency's falls risk assessment. If your patient uses a wal... Read more
Coding:
Knock Out Diabetes Coding Confusion.
These four questions will clear your path to correct coding. Knowing how to code correctl... Read more
Knock Out Diabetes Coding Confusion.
These four questions will clear your path to correct coding. Knowing how to code correctl... Read more
Industry Notes:
Wheelchair Suppliers Balk At OIG Report.
Suppliers' costs keep wheelchairs from being a cash crop. Industry insiders take exceptio... Read more
Wheelchair Suppliers Balk At OIG Report.
Suppliers' costs keep wheelchairs from being a cash crop. Industry insiders take exceptio... Read more
Industry Notes:
Palmetto Offers New Falls Risk Code To Help Agencies Spot Problems
If you know whether your patients are at risk for falls, you can avoid them -- but f... Read more
Palmetto Offers New Falls Risk Code To Help Agencies Spot Problems
If you know whether your patients are at risk for falls, you can avoid them -- but f... Read more
Industry Notes:
Home Health Agencies Most Satisfied With Medicare, New MCPSS Says
Home health agencies are more satisfied with Medicare than almost every other provider ty... Read more
Home Health Agencies Most Satisfied With Medicare, New MCPSS Says
Home health agencies are more satisfied with Medicare than almost every other provider ty... Read more
Industry Notes:
: Federal Register Issues Revised Wage Index Tables For Hospice Final Rule
If you thought you were seeing double when you looked at the Federal Register this month,... Read more
: Federal Register Issues Revised Wage Index Tables For Hospice Final Rule
If you thought you were seeing double when you looked at the Federal Register this month,... Read more
Industry Notes:
: Cahaba GBA Launches New Site For Results Of Widespread Probe Edits
You have a new source of information for widespread probe edits. Cahaba GBA has created a... Read more
: Cahaba GBA Launches New Site For Results Of Widespread Probe Edits
You have a new source of information for widespread probe edits. Cahaba GBA has created a... Read more
Regulations:
Take The Sting Out Of New Physician Narrative Requirement
Hospices can get physician buy-in with a few simple strategies. Ready or not, hospices ha... Read more
Take The Sting Out Of New Physician Narrative Requirement
Hospices can get physician buy-in with a few simple strategies. Ready or not, hospices ha... Read more
Compliance:
OMB Pushes Back Current HHABN Expiration Date
Use these expert tips for a painless transition. Your home health advance beneficiary not... Read more
OMB Pushes Back Current HHABN Expiration Date
Use these expert tips for a painless transition. Your home health advance beneficiary not... Read more
Reimbursement:
You Can Bill Auto Insurance For Patient Services
Warn your patients they may pay out of pocket. Scenario: Your home care patient is in an ... Read more
You Can Bill Auto Insurance For Patient Services
Warn your patients they may pay out of pocket. Scenario: Your home care patient is in an ... Read more
Compliance:
Watch Date-of-Service On Osteoporosis Claims
Avoid denials with this official guidance. If you're getting denied for osteoporosis drug... Read more
Watch Date-of-Service On Osteoporosis Claims
Avoid denials with this official guidance. If you're getting denied for osteoporosis drug... Read more
OASIS C:
Dissect Changes To Ensure OASIS Success
Learn how to tell which innovations might work in your agency. The upcoming transition to... Read more
Dissect Changes To Ensure OASIS Success
Learn how to tell which innovations might work in your agency. The upcoming transition to... Read more
Patient Satisfaction:
CAHPS Tool Is One Step Closer To Final
Speak up now to put your stamp on a patient satisfaction tool Your patients will soon hav... Read more
CAHPS Tool Is One Step Closer To Final
Speak up now to put your stamp on a patient satisfaction tool Your patients will soon hav... Read more
Coding How-To:
Simplify Complicated Surgical Wound Coding
Watch V code use with complications. Your patient's surgical wound may be complicated, bu... Read more
Simplify Complicated Surgical Wound Coding
Watch V code use with complications. Your patient's surgical wound may be complicated, bu... Read more
Industry Notes:
'Ignorance' Is No Excuse For Certification Violations
Here's how one agency's lack of due diligence put it on regulators' bad side. If you aren... Read more
'Ignorance' Is No Excuse For Certification Violations
Here's how one agency's lack of due diligence put it on regulators' bad side. If you aren... Read more
Reimbursement:
Use These 4 Tips To Defend Long-Stay Claims
Intermediary cracks down on long-stay patients with new probe. Get ready for a higher lev... Read more
Use These 4 Tips To Defend Long-Stay Claims
Intermediary cracks down on long-stay patients with new probe. Get ready for a higher lev... Read more
Case Mix:
Osteoporosis Problems Fill Up Patient Rolls
New government study examines effects of disease. You're not alone if osteoporosis patien... Read more
Osteoporosis Problems Fill Up Patient Rolls
New government study examines effects of disease. You're not alone if osteoporosis patien... Read more
OASIS C:
Amp Up Your Falls Risk Assessment To Protect Your Patients
Tip: Ask the experts -- your therapists -- for help. The last thing you need is... Read more
Amp Up Your Falls Risk Assessment To Protect Your Patients
Tip: Ask the experts -- your therapists -- for help. The last thing you need is... Read more
Hospice:
Here's How To Furnish Unrelated Services To Hospice Patients
Our experts show you how to provide your services without attracting extra scrutiny. Just... Read more
Here's How To Furnish Unrelated Services To Hospice Patients
Our experts show you how to provide your services without attracting extra scrutiny. Just... Read more
Coding:
Quash Your Q Code 'Place of Stay' Confusion
Keep this in mind when coding for hospice care. Too many hospice providers are billing fo... Read more
Quash Your Q Code 'Place of Stay' Confusion
Keep this in mind when coding for hospice care. Too many hospice providers are billing fo... Read more
Diabetes:
Break These Diabetes Coding Bad Habits
Learn the five fourth digits for 250.xx you should avoid. Coding for diabetes becomes mor... Read more
Break These Diabetes Coding Bad Habits
Learn the five fourth digits for 250.xx you should avoid. Coding for diabetes becomes mor... Read more
Industry News:
Watch Out For In-House Identity Thieves
Here's how one agency acted quickly to protect its client's privacy. If you think your pa... Read more
Watch Out For In-House Identity Thieves
Here's how one agency acted quickly to protect its client's privacy. If you think your pa... Read more
OASIS:
Gear Up For New Process Items In OASIS C
Major OASIS changes could soon hit you square in the wallet, consultant predicts. While i... Read more
Gear Up For New Process Items In OASIS C
Major OASIS changes could soon hit you square in the wallet, consultant predicts. While i... Read more
Assessment:
5 Tips For Tackling OASIS C Now
Don't let your clinicians off the hook regarding critical thinking. Here are some steps y... Read more
5 Tips For Tackling OASIS C Now
Don't let your clinicians off the hook regarding critical thinking. Here are some steps y... Read more
Regulations:
Get To Know Your New OASIS C Process Measures
Documentation will be more important than ever under some of the surprising new items. Th... Read more
Get To Know Your New OASIS C Process Measures
Documentation will be more important than ever under some of the surprising new items. Th... Read more
Competitive Bidding:
Medicare Rolls Out Bidding Education Campaign
Industry fights round one rebid. Medicare's DME competitive bidding machine is roaring to... Read more
Medicare Rolls Out Bidding Education Campaign
Industry fights round one rebid. Medicare's DME competitive bidding machine is roaring to... Read more
Industry Notes:
Suppliers Battle Another Scathing OIG Report
This time, the feds take aim at support surfaces. You'll see more medical review for pres... Read more
Suppliers Battle Another Scathing OIG Report
This time, the feds take aim at support surfaces. You'll see more medical review for pres... Read more
Prospective Payment System:
Medicare Proposes 2% Increase To HHA Rates In 2010
Don't be lulled by the deceptive update, trade group warns. Cuts for case mix creep may d... Read more
Medicare Proposes 2% Increase To HHA Rates In 2010
Don't be lulled by the deceptive update, trade group warns. Cuts for case mix creep may d... Read more
Reimbursement:
Outlier Revamp Aims To Fight Fraud
Per-agency outlier payments to be capped at 10 percent under latest proposal. Asurprising... Read more
Outlier Revamp Aims To Fight Fraud
Per-agency outlier payments to be capped at 10 percent under latest proposal. Asurprising... Read more
Hospice:
Hospice Cuts Softened, But Still Pack A Wallop
Per-agency outlier payments to be capped at 10 percent under latest proposal. Get ready f... Read more
Hospice Cuts Softened, But Still Pack A Wallop
Per-agency outlier payments to be capped at 10 percent under latest proposal. Get ready f... Read more
OASIS:
It's Official: Final OASIS C Form Approved
Providers wait anxiously for accompanying OASIS Manual update. If you took an advance loo... Read more
It's Official: Final OASIS C Form Approved
Providers wait anxiously for accompanying OASIS Manual update. If you took an advance loo... Read more
Industry Notes:
Bidding To Launch In October
Meanwhile, feds offer intensive orientation and training for the program. Suppliers waiti... Read more
Bidding To Launch In October
Meanwhile, feds offer intensive orientation and training for the program. Suppliers waiti... Read more
Finance:
Avoid These Common Cost Report Pitfalls
Shoddy cost report data torpedoes industry reimbursement. If you've been cutting corners ... Read more
Avoid These Common Cost Report Pitfalls
Shoddy cost report data torpedoes industry reimbursement. If you've been cutting corners ... Read more
Reimbursement:
Use These 5 Tips To Stay On Top Of Cost Reports
Don't shirk this vital responsibility. For home health agencies that have let cost report... Read more
Use These 5 Tips To Stay On Top Of Cost Reports
Don't shirk this vital responsibility. For home health agencies that have let cost report... Read more
Budget:
Home Care Providers Nervous About Health Care Negotiations
Industry takes heart from President Obama's latest praise. Congress may not be poised to ... Read more
Home Care Providers Nervous About Health Care Negotiations
Industry takes heart from President Obama's latest praise. Congress may not be poised to ... Read more
Audits:
RACs To Focus On DME In SNF Stays
Equipment payments for nursing home patients not in Part A stays to get tougher. Medicare... Read more
RACs To Focus On DME In SNF Stays
Equipment payments for nursing home patients not in Part A stays to get tougher. Medicare... Read more
OASIS:
Guard Against OASIS Errors For Stroke Patients
Patients' self-reported medical histories take a spin after a stroke, new study says. Wit... Read more
Guard Against OASIS Errors For Stroke Patients
Patients' self-reported medical histories take a spin after a stroke, new study says. Wit... Read more
Industry Notes:
GAO Calls For Increased HHA Claims Review
CMS and its contractors slacking, federal watchdog claims. The Government Accountability ... Read more
GAO Calls For Increased HHA Claims Review
CMS and its contractors slacking, federal watchdog claims. The Government Accountability ... Read more
OASIS:
Check Out Newest OASIS C Form
Don't fall behind in preparing for soon-to-betracked processes. If you've already begun y... Read more
Check Out Newest OASIS C Form
Don't fall behind in preparing for soon-to-betracked processes. If you've already begun y... Read more
Hospice:
Using Stand-Alone CTIs Could Save Your Hospice Claims
Don't let this critical piece of hospice documentation get lost in the shuffle. The feds ... Read more
Using Stand-Alone CTIs Could Save Your Hospice Claims
Don't let this critical piece of hospice documentation get lost in the shuffle. The feds ... Read more
Documentation:
Make Sure Your Verbal CTIs Contain These 7 Items
A valid certification of terminal illness is vital to your claims and your compliance reco... Read more
Make Sure Your Verbal CTIs Contain These 7 Items
A valid certification of terminal illness is vital to your claims and your compliance reco... Read more
Budget:
Health Care Reform Progress Mixed Bag For Home Care
MedPAC fears dog HHAs. The wheels of health care reform legislation are turning slowly, a... Read more
Health Care Reform Progress Mixed Bag For Home Care
MedPAC fears dog HHAs. The wheels of health care reform legislation are turning slowly, a... Read more
Care Planning:
Caregivers' Economic Woes Could Affect Your Patients
More nursing home stays could lie ahead. When formulating care plans for your patients, y... Read more
Caregivers' Economic Woes Could Affect Your Patients
More nursing home stays could lie ahead. When formulating care plans for your patients, y... Read more
Industry Notes:
CMS Gets Bidding Ball Rolling
Don't overlook these important competitive bidding proposals in the physician pay rule. W... Read more
CMS Gets Bidding Ball Rolling
Don't overlook these important competitive bidding proposals in the physician pay rule. W... Read more
Budget:
House Bill Pummels Home Care
Lawmakers call for billions in Medicare home care cuts. Health care reform legislation is... Read more
House Bill Pummels Home Care
Lawmakers call for billions in Medicare home care cuts. Health care reform legislation is... Read more
Oxygen:
House Skips Oxygen Provisions -- For Now
Another new oxygen bill receives mixed reception from industry. The House tri-committee b... Read more
House Skips Oxygen Provisions -- For Now
Another new oxygen bill receives mixed reception from industry. The House tri-committee b... Read more
Hospice:
Polish Your Hospice GIP Documentation Skills
Make sure your inpatient claims for hospice patients can stand up to tough review. Will y... Read more
Polish Your Hospice GIP Documentation Skills
Make sure your inpatient claims for hospice patients can stand up to tough review. Will y... Read more
Education:
Get Serious About Your OASIS C Training
Also learn about whistleblower lawsuit protection and new 2010 diagnosis codes in upcomi... Read more
Get Serious About Your OASIS C Training
Also learn about whistleblower lawsuit protection and new 2010 diagnosis codes in upcomi... Read more
Coding:
Double-Check Your Wheelchair Coding To Avoid Losses
Suppliers shortchange themselves on standard wheelchairs, federal watchdog finds. You cou... Read more
Double-Check Your Wheelchair Coding To Avoid Losses
Suppliers shortchange themselves on standard wheelchairs, federal watchdog finds. You cou... Read more
Industry Notes:
July Claims System Update Brings Payment Errors
Intermediaries are on the case, they say. If you've been seeing claims problems this mont... Read more
July Claims System Update Brings Payment Errors
Intermediaries are on the case, they say. If you've been seeing claims problems this mont... Read more
OASIS:
Grab A Sneak Peek At The Final OASIS C Form
Start laying your OASIS C plans now. The wait is nearly over for the drastically revamped... Read more
Grab A Sneak Peek At The Final OASIS C Form
Start laying your OASIS C plans now. The wait is nearly over for the drastically revamped... Read more
Regulations:
Get Your Subcontractor Accreditation Straight Or Lose Billing Privileges
Bidding, surety bonds also discussed in Open Door Forum. The October accreditation deadli... Read more
Get Your Subcontractor Accreditation Straight Or Lose Billing Privileges
Bidding, surety bonds also discussed in Open Door Forum. The October accreditation deadli... Read more
Budget:
Health Reform Negotiations Threaten Home Care
Health reform bill timeline pushed back as lawmakers disagree on policies, funding. The o... Read more
Health Reform Negotiations Threaten Home Care
Health reform bill timeline pushed back as lawmakers disagree on policies, funding. The o... Read more
Strategy:
What You Can Do
The National Association for Home Care & Hospice and other trade organizations are urg... Read more
What You Can Do
The National Association for Home Care & Hospice and other trade organizations are urg... Read more
Fraud & Abuse:
Fraud-Fighting Hammer Continues To Pound Home Care
Miami, California cases fuel the home care enforcement fire. Two more cases announced by ... Read more
Fraud-Fighting Hammer Continues To Pound Home Care
Miami, California cases fuel the home care enforcement fire. Two more cases announced by ... Read more
Industry Notes:
Screen Heart Disease Patients Carefully For Depression
Catching a depression dx for these patients may help stave off heart failure, new study s... Read more
Screen Heart Disease Patients Carefully For Depression
Catching a depression dx for these patients may help stave off heart failure, new study s... Read more
Compliance :
4 Strategies To Protect Yourself From Whistleblower Suits
Arkansas hospice slapped with qui tam suit filed by competitor. You may think you&rsqu... Read more
4 Strategies To Protect Yourself From Whistleblower Suits
Arkansas hospice slapped with qui tam suit filed by competitor. You may think you&rsqu... Read more
Hospice :
Inpatient Care Tops Reviewers' Hospice Hit List
Whistleblower suit shows why your non-routine hospice claims must be squeaky clean. Are y... Read more
Inpatient Care Tops Reviewers' Hospice Hit List
Whistleblower suit shows why your non-routine hospice claims must be squeaky clean. Are y... Read more
Budget :
Home Care Gears Up To Fight Further Cuts
Latest proposals take biggest bite yet out of home care funding. As public concern about ... Read more
Home Care Gears Up To Fight Further Cuts
Latest proposals take biggest bite yet out of home care funding. As public concern about ... Read more
Human Resources :
Use These 5 Tips To Become A Better Boss
Know when to use praise -- and when not to. Trying to figure out how to spur your ho... Read more
Use These 5 Tips To Become A Better Boss
Know when to use praise -- and when not to. Trying to figure out how to spur your ho... Read more
Policy :
Obama Administration Prioritizes Olmstead Compliance
Will new initiative be mere lip service or bring real change? Despite the U.S. Supreme Co... Read more
Obama Administration Prioritizes Olmstead Compliance
Will new initiative be mere lip service or bring real change? Despite the U.S. Supreme Co... Read more
Industry Notes :
OIG Touts Billions In Fraud Recoveries
Feds go after billing company employees. If you're wondering how much incentive regulator... Read more
OIG Touts Billions In Fraud Recoveries
Feds go after billing company employees. If you're wondering how much incentive regulator... Read more
Labor Law :
Obama Administration Considers Restricting Companionship Exemption
Major change to minimum wage and overtime laws could hurt home care providers and clients... Read more
Obama Administration Considers Restricting Companionship Exemption
Major change to minimum wage and overtime laws could hurt home care providers and clients... Read more
Billing :
Get a Leg Up on CMS's New HIPAA 5010 Form
Contact your software vendor about the form 'right away,' CMS urges. The feds want you to... Read more
Get a Leg Up on CMS's New HIPAA 5010 Form
Contact your software vendor about the form 'right away,' CMS urges. The feds want you to... Read more
Budget :
HHAs Watch Anxiously As Health Care Reform Shapes Up
MedPAC may soon be calling the Medicare reimbursement shots. Change is in the air, but so ... Read more
HHAs Watch Anxiously As Health Care Reform Shapes Up
MedPAC may soon be calling the Medicare reimbursement shots. Change is in the air, but so ... Read more
Education :
Jump-Start Your OASIS C Training
Hospice appeals, whistleblower lawsuit protection, and new 2010 diagnosis codes also add... Read more
Jump-Start Your OASIS C Training
Hospice appeals, whistleblower lawsuit protection, and new 2010 diagnosis codes also add... Read more
Industry Notes :
Competitive Bidding To Hit In 2011
CMS reveals more bidding program details at PAOC meeting. Suppliers wondering how the ... Read more
Competitive Bidding To Hit In 2011
CMS reveals more bidding program details at PAOC meeting. Suppliers wondering how the ... Read more
Reader Question :
Tread Carefully When Providing HHA Services To Hospice Patients
Make sure your documentation on what's unrelated to the terminal illness is airtight. Que... Read more
Tread Carefully When Providing HHA Services To Hospice Patients
Make sure your documentation on what's unrelated to the terminal illness is airtight. Que... Read more
Patient Notices :
CMS EXPECTS BLIZZARD OF HHABNs
Don't think visit ranges will minimize your ABN burden. Are your home health advance bene... Read more
CMS EXPECTS BLIZZARD OF HHABNs
Don't think visit ranges will minimize your ABN burden. Are your home health advance bene... Read more
Compliance :
CONSIDER YOUR HHABN OPTIONS CAREFULLY TO MINIMIZE BURDEN
Visit ranges are out, but specific POC frequencies could help you. If you're looking for ... Read more
CONSIDER YOUR HHABN OPTIONS CAREFULLY TO MINIMIZE BURDEN
Visit ranges are out, but specific POC frequencies could help you. If you're looking for ... Read more
Competitive Bidding :
COMPETITIVE BIDDING STEAMROLLS
Suppliers must have accreditation, surety bonds to bid. Suppliers are in for the fight of... Read more
COMPETITIVE BIDDING STEAMROLLS
Suppliers must have accreditation, surety bonds to bid. Suppliers are in for the fight of... Read more
Fraud & Abuse :
WATCH OUT FOR NEW FALSE CLAIMS RULES
What looked like a law cracking down on financial fraud could pack a punch for you. Home ... Read more
WATCH OUT FOR NEW FALSE CLAIMS RULES
What looked like a law cracking down on financial fraud could pack a punch for you. Home ... Read more
Regulations :
ROUND ONE BID: AREAS AND PRODUCT CATEGORIES
Areas: • Cincinnati -- Middletown in Ohio, Ky., and Ind. • Cleveland -- Ely... Read more
ROUND ONE BID: AREAS AND PRODUCT CATEGORIES
Areas: • Cincinnati -- Middletown in Ohio, Ky., and Ind. • Cleveland -- Ely... Read more
Industry Notes :
HEALTH CARE BUDGET NEGOTIATIONS HEAT UP
Home care providers hope for positive provisions in imminent congressional health care re... Read more
HEALTH CARE BUDGET NEGOTIATIONS HEAT UP
Home care providers hope for positive provisions in imminent congressional health care re... Read more
Patient Satisfaction:
CATCH A SNEAK PEEK AT YOUR P4P MEASURES
New patient satisfaction survey has four big flaws, reps point out. You may not have to u... Read more
CATCH A SNEAK PEEK AT YOUR P4P MEASURES
New patient satisfaction survey has four big flaws, reps point out. You may not have to u... Read more
Fraud & Abuse:
FEDS TURN UP THE ENFORCEMENT HEAT ON HOME CARE PROVIDERS
Will legitimate providers get caught in the crossfire? You've got your eye on the RACs, t... Read more
FEDS TURN UP THE ENFORCEMENT HEAT ON HOME CARE PROVIDERS
Will legitimate providers get caught in the crossfire? You've got your eye on the RACs, t... Read more
Prospective Payment System:
PPS FLEXIBILITY COULD BACKFIRE ON HHAs
High exec salaries add fuel to HHA payment cut fire. Exorbitant executive salaries under ... Read more
PPS FLEXIBILITY COULD BACKFIRE ON HHAs
High exec salaries add fuel to HHA payment cut fire. Exorbitant executive salaries under ... Read more
Diagnosis Coding:
DON'T COUNT ON MUCH WIGGLE ROOM FOR ICD-10 DEADLINE
Plus: Home care shouldn't rely too heavily on CMS's ICD-9 to ICD-10 crosswalk tool. Altho... Read more
DON'T COUNT ON MUCH WIGGLE ROOM FOR ICD-10 DEADLINE
Plus: Home care shouldn't rely too heavily on CMS's ICD-9 to ICD-10 crosswalk tool. Altho... Read more
Education:
GET A HEAD START ON TRANSITION TO ICD-10
Map out your staff training on coding for the coming year. While Oct. 1, 2013 may seem li... Read more
GET A HEAD START ON TRANSITION TO ICD-10
Map out your staff training on coding for the coming year. While Oct. 1, 2013 may seem li... Read more
Industry Notes:
PREPARE FOR NEW HH ABN FORM THIS FALL
CMS expects you to be issuing ABNs more than twice per episode, on average. You might wan... Read more
PREPARE FOR NEW HH ABN FORM THIS FALL
CMS expects you to be issuing ABNs more than twice per episode, on average. You might wan... Read more
Audits:
BRACE FOR RAC ATTACK ON HOME CARE
Outliers, therapy to attract punishing audits first, experts predict. If you're ducking y... Read more
BRACE FOR RAC ATTACK ON HOME CARE
Outliers, therapy to attract punishing audits first, experts predict. If you're ducking y... Read more
Medical Review:
USE THESE 6 TIPS TO STAY A STEP AHEAD OF RACs
It's time to beef up your documentation. There's no question about it--theMedicare progra... Read more
USE THESE 6 TIPS TO STAY A STEP AHEAD OF RACs
It's time to beef up your documentation. There's no question about it--theMedicare progra... Read more
Budget:
SENATORS CONSIDER HOME CARE CUTS
HHAs, suppliers squarely on the budget chopping block. Home care providers are targets fo... Read more
SENATORS CONSIDER HOME CARE CUTS
HHAs, suppliers squarely on the budget chopping block. Home care providers are targets fo... Read more
Diagnosis Coding:
GET READY FOR 141 NEW ICD-9 CODES EFFECTIVE OCT. 1
Some of the new codes may help you with ICD-10. With ICD-10 looming around the corner, do... Read more
GET READY FOR 141 NEW ICD-9 CODES EFFECTIVE OCT. 1
Some of the new codes may help you with ICD-10. With ICD-10 looming around the corner, do... Read more
Fraud & Abuse:
CERT ERROR RATE CREATES DIFFICULTIES FOR SUPPLIERS -- AGAIN
2008 error rate for DME is 70 percent, contractor maintains. Suppliers who hoped the brou... Read more
CERT ERROR RATE CREATES DIFFICULTIES FOR SUPPLIERS -- AGAIN
2008 error rate for DME is 70 percent, contractor maintains. Suppliers who hoped the brou... Read more
Industry Notes:
PPS REFINEMENTS ADJUSTMENTS STILL UNDERWAY AT ONE RHHI
HHAs will see long-awaited underpayments finally fixed. Don't be surprised if you continu... Read more
PPS REFINEMENTS ADJUSTMENTS STILL UNDERWAY AT ONE RHHI
HHAs will see long-awaited underpayments finally fixed. Don't be surprised if you continu... Read more
Budget :
More Fraud Enforcement, Hospital Bundling Proposed For HHAs
Plus: P4P gets renewed emphasis from influential senators. With a new presidential admini... Read more
More Fraud Enforcement, Hospital Bundling Proposed For HHAs
Plus: P4P gets renewed emphasis from influential senators. With a new presidential admini... Read more
Hospice:
Physician Headaches To Increase For Hospices.
CMS wants more documentation from certifying docs. Get ready for your physician-related b... Read more
Physician Headaches To Increase For Hospices.
CMS wants more documentation from certifying docs. Get ready for your physician-related b... Read more
Education :
MASTER OASIS C,WOUND CAREWITH THESE EDUCATIONAL OFFERINGS
NPWT, pressure ulcers, hospice appeals, and new OASIS process measures addressed in upco... Read more
MASTER OASIS C,WOUND CAREWITH THESE EDUCATIONAL OFFERINGS
NPWT, pressure ulcers, hospice appeals, and new OASIS process measures addressed in upco... Read more
Compliance:
MAKE THE MOST OF YOUR RED FLAGS RULE BREATHER
You now have until Aug. 1 to prepare but you'll need all of that time if you haven't ... Read more
MAKE THE MOST OF YOUR RED FLAGS RULE BREATHER
You now have until Aug. 1 to prepare but you'll need all of that time if you haven't ... Read more
Human Resources :
BOOST YOUR PERFORMANCEWITH LEADERSHIP TRAINING
Don't make the mistake of leaving your new managers to sink or swim. Be honest: Do new pi... Read more
BOOST YOUR PERFORMANCEWITH LEADERSHIP TRAINING
Don't make the mistake of leaving your new managers to sink or swim. Be honest: Do new pi... Read more
Industry Notes :
HOSPICE CAP CHANGES ON DECK
CMS releases 2009 cap amount early. If you're wondering whether you'll have trouble with ... Read more
HOSPICE CAP CHANGES ON DECK
CMS releases 2009 cap amount early. If you're wondering whether you'll have trouble with ... Read more
Prospective Payment System:
GET READY FOR NEW SUPPLIES EDIT IN OCTOBER
CMS puts limits on how you can change NRS digit on final claims. A new Medicare edit for ... Read more
GET READY FOR NEW SUPPLIES EDIT IN OCTOBER
CMS puts limits on how you can change NRS digit on final claims. A new Medicare edit for ... Read more
Hospice:
HOSPICE CUT WILL TAKE TOLL ON PROVIDERS, SERVICES
Small, rural providers to be hit hardest. Hospices should brace for Medicare reimbursemen... Read more
HOSPICE CUT WILL TAKE TOLL ON PROVIDERS, SERVICES
Small, rural providers to be hit hardest. Hospices should brace for Medicare reimbursemen... Read more
Reimbursement:
CMS FINALIZES ADDITIONAL HOSPICE CLAIMS DATA REPORTING MANDATE
Get the details on the new requirement that hits hospices Jan. 1. Hospices will be glad t... Read more
CMS FINALIZES ADDITIONAL HOSPICE CLAIMS DATA REPORTING MANDATE
Get the details on the new requirement that hits hospices Jan. 1. Hospices will be glad t... Read more
Fraud & Abuse:
OIG BLASTS FRAUDULENT S. FLORIDA INHALATION DRUG CLAIMS
Medicare paid five times more for two brand-name inhalation meds in Miami. Billing for bu... Read more
OIG BLASTS FRAUDULENT S. FLORIDA INHALATION DRUG CLAIMS
Medicare paid five times more for two brand-name inhalation meds in Miami. Billing for bu... Read more
Therapy:
DON'T OVERLOOK CAREGIVERSWHEN PREVENTING NURSING HOME PLACEMENT
OT helps patients stay at home. It's no news that occupational therapy can benefit older ... Read more
DON'T OVERLOOK CAREGIVERSWHEN PREVENTING NURSING HOME PLACEMENT
OT helps patients stay at home. It's no news that occupational therapy can benefit older ... Read more
Industry Notes:
ANOTHER FRAUD CONTRACTOR MAKES DEBUT
CMS names third ZPIC. Medicare is nearly halfway done naming its new fraud-fighting contr... Read more
ANOTHER FRAUD CONTRACTOR MAKES DEBUT
CMS names third ZPIC. Medicare is nearly halfway done naming its new fraud-fighting contr... Read more
Audits:
RACs ANNOUNCE FOCUS ON HOME CARE
Take these 6 steps to prepare for the audit onslaught. Get ready to feel the pain that do... Read more
RACs ANNOUNCE FOCUS ON HOME CARE
Take these 6 steps to prepare for the audit onslaught. Get ready to feel the pain that do... Read more
Medical Review:
BEWARE THESE LIKELY RAC TARGETS
Therapy, outliers pose audit threat. The new Recovery Audit Contractors haven't announced... Read more
BEWARE THESE LIKELY RAC TARGETS
Therapy, outliers pose audit threat. The new Recovery Audit Contractors haven't announced... Read more
Hospice:
CMS PROPOSES HOSPICE PAY CUTS, ADDED PHYSICIAN DOCUMENTATION
You'd better hope your referring docs write a compelling essay under CMS's new rule. Hosp... Read more
CMS PROPOSES HOSPICE PAY CUTS, ADDED PHYSICIAN DOCUMENTATION
You'd better hope your referring docs write a compelling essay under CMS's new rule. Hosp... Read more
Competitive Bidding:
COMPETITIVE BIDDING BACK IN THE FAST LANE
Industry protests fall on deaf ears so far. The Obama administration's regulatory review ... Read more
COMPETITIVE BIDDING BACK IN THE FAST LANE
Industry protests fall on deaf ears so far. The Obama administration's regulatory review ... Read more
Quality:
MEDICARE PUSHES PREVENTION OF HOSPITAL READMISSIONS
14 communities across the nation will aim to reduce rehospitalizations. Individual Qualit... Read more
MEDICARE PUSHES PREVENTION OF HOSPITAL READMISSIONS
14 communities across the nation will aim to reduce rehospitalizations. Individual Qualit... Read more
Industry Notes:
OIG PAINTS HME INDUSTRY AS OVERPAID BY MEDICARE
Watchdog agency urges lawmakers to shorten oxygen cap to 13 months. Senators recently got... Read more
OIG PAINTS HME INDUSTRY AS OVERPAID BY MEDICARE
Watchdog agency urges lawmakers to shorten oxygen cap to 13 months. Senators recently got... Read more
Compliance:
TAILOR YOUR RED FLAGS RULE PLAN TO HOME CARE
Unique patient setting carries certain risks and responsibilities. If you're thinking you... Read more
TAILOR YOUR RED FLAGS RULE PLAN TO HOME CARE
Unique patient setting carries certain risks and responsibilities. If you're thinking you... Read more
Regulations:
FOLLOW THESE 4 STEPS TO RED FLAGS RULE SUCCESS
Check out what the FTC expects of you starting next month. Like it or not, the Federal Tr... Read more
FOLLOW THESE 4 STEPS TO RED FLAGS RULE SUCCESS
Check out what the FTC expects of you starting next month. Like it or not, the Federal Tr... Read more
OASIS:
FOCUS ON POSITIVE OASIS C ADL CHANGES
You can say goodbye to prior status column for ADLs. The Jan. 1 start date for using the ... Read more
FOCUS ON POSITIVE OASIS C ADL CHANGES
You can say goodbye to prior status column for ADLs. The Jan. 1 start date for using the ... Read more
Hospice:
AVOID THESE HOSPICE ELIGIBILITY PITFALLS
Shore up your documentation to address this medical review hot spot. If your hospice hasn... Read more
AVOID THESE HOSPICE ELIGIBILITY PITFALLS
Shore up your documentation to address this medical review hot spot. If your hospice hasn... Read more
Medical Review:
MAKE SURE YOUR HOSPICE DOCUMENTATION COVERS THESE ELIGIBILITY BASES
Don't expect reviewers and surveyors to be satisfied with vague clinical notes. The best ... Read more
MAKE SURE YOUR HOSPICE DOCUMENTATION COVERS THESE ELIGIBILITY BASES
Don't expect reviewers and surveyors to be satisfied with vague clinical notes. The best ... Read more
Industry Notes:
HHA SATISFACTION SURVEY STARTS ROLLING OUT
Participation in patient satisfaction survey is voluntary -- for now. If you'd like ... Read more
HHA SATISFACTION SURVEY STARTS ROLLING OUT
Participation in patient satisfaction survey is voluntary -- for now. If you'd like ... Read more
Hospice :
HOSPICES BATTLE INDUSTRY TRENDS AS LAWMAKERS MULL CUTS
CMS also discusses billing changes, new COPs at industry conference. If you're wondering ... Read more
HOSPICES BATTLE INDUSTRY TRENDS AS LAWMAKERS MULL CUTS
CMS also discusses billing changes, new COPs at industry conference. If you're wondering ... Read more
Budget :
BE ON THE LOOKOUT FOR NEXT BUDGET STEP
Resolution therapy provision could affect home care providers. The House and Senate 2010 ... Read more
BE ON THE LOOKOUT FOR NEXT BUDGET STEP
Resolution therapy provision could affect home care providers. The House and Senate 2010 ... Read more
Compliance :
FIND OUTWHEN THE OIG ADVISORY PROCESS WORKS FOR YOU -- AND WHEN IT DOESN'T
Tip: Make your request before implementing policies. You've most likely heard about the O... Read more
FIND OUTWHEN THE OIG ADVISORY PROCESS WORKS FOR YOU -- AND WHEN IT DOESN'T
Tip: Make your request before implementing policies. You've most likely heard about the O... Read more
Industry Notes :
HOME CARE BUDGETS SUFFER DESPITE STIMULUS FUNDING
States tighten belts and providers will have to follow suit. Don't be surprised if your M... Read more
HOME CARE BUDGETS SUFFER DESPITE STIMULUS FUNDING
States tighten belts and providers will have to follow suit. Don't be surprised if your M... Read more
Education :
AVOID COMPLIANCE, REIMBURSEMENT PITFALLS WITH THESE EDUCATIONAL OFFERINGS
Attachment D, PPS billing land mines, wound therapy addressed in upcoming sessions. Ge... Read more
AVOID COMPLIANCE, REIMBURSEMENT PITFALLS WITH THESE EDUCATIONAL OFFERINGS
Attachment D, PPS billing land mines, wound therapy addressed in upcoming sessions. Ge... Read more
Audits:
DON'T GET FLOODED BY FIRST RAC WAVE
Home health likely target for claims review, expert predicts. Home health providers are k... Read more
DON'T GET FLOODED BY FIRST RAC WAVE
Home health likely target for claims review, expert predicts. Home health providers are k... Read more
Contractors:
KNOW THESE NEW CONTRACTOR NAMES
With an influx of new payment and program integrity contractors potentially making your l... Read more
KNOW THESE NEW CONTRACTOR NAMES
With an influx of new payment and program integrity contractors potentially making your l... Read more
Diagnosis Coding:
CMS DISMISSES ATTACHMENT D CONCERNS
Sequencing, risk adjustment not harmed by new guidance on secondary diagnosis coding, CMS... Read more
CMS DISMISSES ATTACHMENT D CONCERNS
Sequencing, risk adjustment not harmed by new guidance on secondary diagnosis coding, CMS... Read more
Compliance :
ACT QUICKLY IF YOU SUSPECT ID THEFT UNDER NEW RULE
Checking patients' photo IDs is a good idea, experts say. You may think the government is... Read more
ACT QUICKLY IF YOU SUSPECT ID THEFT UNDER NEW RULE
Checking patients' photo IDs is a good idea, experts say. You may think the government is... Read more
Regulations:
ASK THESE 8 VITAL RED FLAGS RULE QUESTIONS
Going through the motions to prevent patient identity theft isn't good enough. Be sure to... Read more
ASK THESE 8 VITAL RED FLAGS RULE QUESTIONS
Going through the motions to prevent patient identity theft isn't good enough. Be sure to... Read more
Industry Notes:
LEGISLATIVE PICTURE BODES WELL FOR HOME CARE
Congress rejects President's proposal for HHA cuts -- for now. Lawmakers seem to be ... Read more
LEGISLATIVE PICTURE BODES WELL FOR HOME CARE
Congress rejects President's proposal for HHA cuts -- for now. Lawmakers seem to be ... Read more
OASIS:
START OASIS PLANNING NOW THAT 'TENTATIVE FINAL' OASIS C IS OUT
'Final final' version expected in late summer, CMS says. After some initial scrambling, t... Read more
START OASIS PLANNING NOW THAT 'TENTATIVE FINAL' OASIS C IS OUT
'Final final' version expected in late summer, CMS says. After some initial scrambling, t... Read more
Hospice:
HIGHER HOSPICE PAYMENT RATES ARRIVE APRIL 3
Big cuts still lie ahead for industry, feds warn. Hospices should finally begin seeing pa... Read more
HIGHER HOSPICE PAYMENT RATES ARRIVE APRIL 3
Big cuts still lie ahead for industry, feds warn. Hospices should finally begin seeing pa... Read more
Fraud & Abuse:
GAO SLAMS HHA FRAUDSTERS IN HIGH-PROFILE REPORT
Are payment cuts, another Operation Restore Trust in the industry's future? Once again, a... Read more
GAO SLAMS HHA FRAUDSTERS IN HIGH-PROFILE REPORT
Are payment cuts, another Operation Restore Trust in the industry's future? Once again, a... Read more
Regulations:
BRACE YOURSELF FOR MORE CASE MIX CREEP CUTS
CMS also dishes on COPs, survey sanctions, homebound definition. If you've been suffering... Read more
BRACE YOURSELF FOR MORE CASE MIX CREEP CUTS
CMS also dishes on COPs, survey sanctions, homebound definition. If you've been suffering... Read more
Studies & Surveys:
THESE HOSPICE STUDY FINDINGS MAY SURPRISE YOU
New reports challenge physician attitudes, cultural preferences. Your job with your hospi... Read more
THESE HOSPICE STUDY FINDINGS MAY SURPRISE YOU
New reports challenge physician attitudes, cultural preferences. Your job with your hospi... Read more
Industry Notes:
FEDS SHOULD TOUGHEN UP SURVEYS, NEW REPORT URGES
Home care providers could see more frequent visits from surveyors. The Government Account... Read more
FEDS SHOULD TOUGHEN UP SURVEYS, NEW REPORT URGES
Home care providers could see more frequent visits from surveyors. The Government Account... Read more
OASIS:
PUT THE BRAKES ON OASIS C PLANS
CMS pulls final OASIS C form off Web site. Just when home health agencies were getting re... Read more
PUT THE BRAKES ON OASIS C PLANS
CMS pulls final OASIS C form off Web site. Just when home health agencies were getting re... Read more
Assessment:
GLEAN OASIS C CLUES FROM YANKED FINAL FORM
Take this opportunity for a sneak peek at the major OASIS changes ahead. The latest OASIS... Read more
GLEAN OASIS C CLUES FROM YANKED FINAL FORM
Take this opportunity for a sneak peek at the major OASIS changes ahead. The latest OASIS... Read more
Education:
AVOID COMPLIANCE, REIMBURSEMENT PITFALLSWITH THESE EDUCATIONAL OFFERINGS
HHA surveys, Attachment D, and hospice hot spots addressed in upcoming sessions. Get v... Read more
AVOID COMPLIANCE, REIMBURSEMENT PITFALLSWITH THESE EDUCATIONAL OFFERINGS
HHA surveys, Attachment D, and hospice hot spots addressed in upcoming sessions. Get v... Read more
Therapy:
IS YOUR PTA AND COTA UTILIZATION HURTING YOUR AGENCY?
See where most HHAs go wrong when it comes to these valuable assistants. A huge caseload ... Read more
IS YOUR PTA AND COTA UTILIZATION HURTING YOUR AGENCY?
See where most HHAs go wrong when it comes to these valuable assistants. A huge caseload ... Read more
Compliance:
BE PREPARED -- STIMULUS PLAN STRENGTHENS HIPAA RULES
Many HIPAA regulations are now applicable to your business associates. If you've been lax... Read more
BE PREPARED -- STIMULUS PLAN STRENGTHENS HIPAA RULES
Many HIPAA regulations are now applicable to your business associates. If you've been lax... Read more
Industry Notes:
OIG FOCUS ON HOSPITAL TRANSFERS COULD AFFECT YOUR REFERRALS
Enforcement of the payment provision that punishes hospitals for transferring patients ho... Read more
OIG FOCUS ON HOSPITAL TRANSFERS COULD AFFECT YOUR REFERRALS
Enforcement of the payment provision that punishes hospitals for transferring patients ho... Read more
OASIS:
CMS ISSUES NEARLY FINAL OASIS C FORM
Get cracking on your OASIS C preparations. You can get a sneak peek at the final OASIS... Read more
CMS ISSUES NEARLY FINAL OASIS C FORM
Get cracking on your OASIS C preparations. You can get a sneak peek at the final OASIS... Read more
Budget:
PRESIDENT'S PROPOSED RATE CUTS THREATEN HHAs
President's and MedPAC's recommendations a double whammy. Home health agencies' honeymoon... Read more
PRESIDENT'S PROPOSED RATE CUTS THREATEN HHAs
President's and MedPAC's recommendations a double whammy. Home health agencies' honeymoon... Read more
Reimbursement:
DME GETS A PASS FROM PRESIDENT,MEDPAC -- FOR NOW
Suppliers still have a lot of work to do, trade groups urge. The beginning of the 2010 bu... Read more
DME GETS A PASS FROM PRESIDENT,MEDPAC -- FOR NOW
Suppliers still have a lot of work to do, trade groups urge. The beginning of the 2010 bu... Read more
People:
NEW HHS SECRETARY NOMINEE COULD BOOST HOME CARE
Familiar IPS-era face shows up again in key Obama administration post. Home care provider... Read more
NEW HHS SECRETARY NOMINEE COULD BOOST HOME CARE
Familiar IPS-era face shows up again in key Obama administration post. Home care provider... Read more
Patient Rights:
PREPARE FOR RED FLAGS RULE BY HEADING OFF IDENTITY THEFT
Most home care providers must comply with this surprising requirement by May 1. On May 1,... Read more
PREPARE FOR RED FLAGS RULE BY HEADING OFF IDENTITY THEFT
Most home care providers must comply with this surprising requirement by May 1. On May 1,... Read more
Industry Notes:
RHHI TARGETS HOSPICE CANCER CLAIMS
Reviewers shoot down claims for certification,terminal prognosis problems. You could wind... Read more
RHHI TARGETS HOSPICE CANCER CLAIMS
Reviewers shoot down claims for certification,terminal prognosis problems. You could wind... Read more
Compliance:
FOLLOW THESE 4 TIPS TO STEER CLEAR OF FTC RED FLAGS SANCTIONS
Documentation of your red flags plan is key. You've got just two months to implement your... Read more
FOLLOW THESE 4 TIPS TO STEER CLEAR OF FTC RED FLAGS SANCTIONS
Documentation of your red flags plan is key. You've got just two months to implement your... Read more
Regulations:
HHAs Off The Hook For Attachment D POC Requirements
Providers remain confused about diagnosis coding guidance. A heavy new burden imposed ... Read more
HHAs Off The Hook For Attachment D POC Requirements
Providers remain confused about diagnosis coding guidance. A heavy new burden imposed ... Read more
Reimbursement:
Hospices Won't Have Extra Work To Benefit From BNAF Delay
Retroactive help may not come until halfway through the fiscal year, though. The economic ... Read more
Hospices Won't Have Extra Work To Benefit From BNAF Delay
Retroactive help may not come until halfway through the fiscal year, though. The economic ... Read more
Competitive Bidding:
CMS Full Steam Ahead On Bidding,Despite Delay
Accreditation, surety bonds also addressed in Open Door Forum. Suppliers hoping for a chan... Read more
CMS Full Steam Ahead On Bidding,Despite Delay
Accreditation, surety bonds also addressed in Open Door Forum. Suppliers hoping for a chan... Read more
Hospice:
Keep New COPs In Mind When Educating Referral Sources About Hospice
Be sure you know what to do -- and avoid. Stepping up to the plate to teach nursi... Read more
Keep New COPs In Mind When Educating Referral Sources About Hospice
Be sure you know what to do -- and avoid. Stepping up to the plate to teach nursi... Read more
Statistics:
Home Care Spending To Slow In Coming Years, CMS Says
Medicare cuts will take their toll on providers, data show. The health care industry may n... Read more
Home Care Spending To Slow In Coming Years, CMS Says
Medicare cuts will take their toll on providers, data show. The health care industry may n... Read more
Contractors:
RHHI-To-MAC Switch Scheduled For May
Two MAC regions are on hold, however. Get ready for some payment shakeups as the new home ... Read more
RHHI-To-MAC Switch Scheduled For May
Two MAC regions are on hold, however. Get ready for some payment shakeups as the new home ... Read more
Industry Notes:
States Continue Medicaid Home Care Cuts
Stimulus bill isn't preventing cuts to vital programs. Florida state legislators are trimm... Read more
States Continue Medicaid Home Care Cuts
Stimulus bill isn't preventing cuts to vital programs. Florida state legislators are trimm... Read more
Diagnosis Coding:
CMS MAKES MORE ATTACHMENT D CORRECTIONS
Secondary diagnoses clarifications could cut down on confusion. Home health agencies are ... Read more
CMS MAKES MORE ATTACHMENT D CORRECTIONS
Secondary diagnoses clarifications could cut down on confusion. Home health agencies are ... Read more
Budget:
HOSPICES WIN MILLIONS IN STIMULUS BILL
But Medicaid cuts for many states are still rolling ahead. Hospices have won back $135 mi... Read more
HOSPICES WIN MILLIONS IN STIMULUS BILL
But Medicaid cuts for many states are still rolling ahead. Hospices have won back $135 mi... Read more
OASIS:
GET READY FOR A LOT OF OASIS-C WORK
CMS underestimates burden of revamped patient assessment tool, industry reps charge. OASI... Read more
GET READY FOR A LOT OF OASIS-C WORK
CMS underestimates burden of revamped patient assessment tool, industry reps charge. OASI... Read more
Fraud & Abuse:
SUPPLIERS TAKE MORE HEAT FOR DEAD DOC BILLING
Medicare paid $34 million for claims with faulty doc numbers. Physicians' NPI numbers wil... Read more
SUPPLIERS TAKE MORE HEAT FOR DEAD DOC BILLING
Medicare paid $34 million for claims with faulty doc numbers. Physicians' NPI numbers wil... Read more
Compliance:
STEER CLEAR OF OIG EXCLUSION LIST PITFALLS
Ignorance isn't bliss when it comes to excluded employees. Ending up on the HHS Office of... Read more
STEER CLEAR OF OIG EXCLUSION LIST PITFALLS
Ignorance isn't bliss when it comes to excluded employees. Ending up on the HHS Office of... Read more
Industry Notes:
CMS FINALIZES 60-DAY DELAY FOR BIDDING
Feds should go back to the drawing board instead, industry reps insist. Just days after p... Read more
CMS FINALIZES 60-DAY DELAY FOR BIDDING
Feds should go back to the drawing board instead, industry reps insist. Just days after p... Read more
Prospective Payment System; RECONCILE YOUR PPS CLAIMS OR RISK LOSSES
Don’t let the confusing PPS refinements trip up your billing. If you don’t... Read more
Don’t let the confusing PPS refinements trip up your billing. If you don’t... Read more
Reimbursement:
PPS ADJUSTMENTS HIT HANGUPS
Don't touch these suspended claims. Your wait for your corrected prospective payment syst... Read more
PPS ADJUSTMENTS HIT HANGUPS
Don't touch these suspended claims. Your wait for your corrected prospective payment syst... Read more
Competitive Bidding:
CMS PROPOSES BIDDING DELAY -- BUT NOT FOR LONG
Suppliers give Congress an earful at hearing about the program. Suppliers may not be gett... Read more
CMS PROPOSES BIDDING DELAY -- BUT NOT FOR LONG
Suppliers give Congress an earful at hearing about the program. Suppliers may not be gett... Read more
Medicaid:
OVERLAPPING HOME CARE SERVICES COULD MEAN MEDICAID OVERPAYS
New OIG report should be a 'wake-up call' for HHAs, trade group warns. If you're confused... Read more
OVERLAPPING HOME CARE SERVICES COULD MEAN MEDICAID OVERPAYS
New OIG report should be a 'wake-up call' for HHAs, trade group warns. If you're confused... Read more
Industry Notes:
NATIONWIDE RAC PROGRAM COMING SOON
Temporary hold-up resolved, CMS says. The Centers for Medicare & Medicaid Services' R... Read more
NATIONWIDE RAC PROGRAM COMING SOON
Temporary hold-up resolved, CMS says. The Centers for Medicare & Medicaid Services' R... Read more
Appeals:
ALJ MOVE A MIXED BAG FOR HOME CARE PROVIDERS
HHAs may be faring better and DME suppliers worse under the new ALJ structure. Your days ... Read more
ALJ MOVE A MIXED BAG FOR HOME CARE PROVIDERS
HHAs may be faring better and DME suppliers worse under the new ALJ structure. Your days ... Read more
Reimbursement:
UNDERSTAND THE APPEALS ROPES OR RISK YOUR REIMBURSEMENT
Dollars matter the higher in the appeals process you go. Medicare has shaken up its appea... Read more
UNDERSTAND THE APPEALS ROPES OR RISK YOUR REIMBURSEMENT
Dollars matter the higher in the appeals process you go. Medicare has shaken up its appea... Read more
Prospective Payment System:
FIX FOR PPS SEQUENCING PROBLEM ON THE WAY
RHHI tells agencies how to ID their PPS adjustments. A correction for a nagging PPS claim... Read more
FIX FOR PPS SEQUENCING PROBLEM ON THE WAY
RHHI tells agencies how to ID their PPS adjustments. A correction for a nagging PPS claim... Read more
Diagnosis Coding:
DON'T DELAY IN ICD-10 PREPARATION
You have an extra few years, but you'll still be hard pressed to achieve compliance. Heal... Read more
DON'T DELAY IN ICD-10 PREPARATION
You have an extra few years, but you'll still be hard pressed to achieve compliance. Heal... Read more
Industry Notes:
PROVIDERS EYE MEDICARE PROVISIONS IN STIMULUS BILL
Hospices would benefit from $134 million provision. Home care providers are hoping for th... Read more
PROVIDERS EYE MEDICARE PROVISIONS IN STIMULUS BILL
Hospices would benefit from $134 million provision. Home care providers are hoping for th... Read more
Statistics:
KNOW YOUR FACTS: ADMINISTRATIVE LAW JUDGE APPEALS
RAC appeals are running up ALJs' caseloads. A crucial decision from an administrative law... Read more
KNOW YOUR FACTS: ADMINISTRATIVE LAW JUDGE APPEALS
RAC appeals are running up ALJs' caseloads. A crucial decision from an administrative law... Read more
Prospective Payment System:
PPS ADJUSTMENTS FINALLY UNDERWAY
You must take action to get the thousand dollars per error coming to you. The wait has be... Read more
PPS ADJUSTMENTS FINALLY UNDERWAY
You must take action to get the thousand dollars per error coming to you. The wait has be... Read more
Hospice:
BIG HOSPICE SETTLEMENT PUTS INDUSTRY IN THE HOT SEAT
Hospice eligibility and six-month-prognosis focus of successful whistleblower lawsuit. A ... Read more
BIG HOSPICE SETTLEMENT PUTS INDUSTRY IN THE HOT SEAT
Hospice eligibility and six-month-prognosis focus of successful whistleblower lawsuit. A ... Read more
Compliance:
6 WAYS TO HEAD OFF COMPLIANCE PROBLEMS -- AND LAWSUITS
How carefully do you listen to your employees' complaints? Whistleblower lawsuits like th... Read more
6 WAYS TO HEAD OFF COMPLIANCE PROBLEMS -- AND LAWSUITS
How carefully do you listen to your employees' complaints? Whistleblower lawsuits like th... Read more
OASIS:
OASIS ATTACHMENT D INSTRUCTIONS ON M0246 CONFOUND CODERS
Get the bottom line on how to follow the new guidance. The new OASIS User's Manual Attach... Read more
OASIS ATTACHMENT D INSTRUCTIONS ON M0246 CONFOUND CODERS
Get the bottom line on how to follow the new guidance. The new OASIS User's Manual Attach... Read more
Education:
Master Compliance, Reimbursement Topics With These Educational Offerings
Kickbacks, surveys, continuous care and CoPs addressed in upcoming sessions. Get vital... Read more
Master Compliance, Reimbursement Topics With These Educational Offerings
Kickbacks, surveys, continuous care and CoPs addressed in upcoming sessions. Get vital... Read more
Industry Notes:
CMS Issues Oxygen Billing Guidance
Many questions left unanswered, confused suppliers say. Nearly a month after Medicare's n... Read more
CMS Issues Oxygen Billing Guidance
Many questions left unanswered, confused suppliers say. Nearly a month after Medicare's n... Read more
Hospice:
MEDPAC PUSHES MAJOR HOSPICE PAY REVAMP
Industry not happy about proposal for abrupt change. The Medicare Payment Advisory Commis... Read more
MEDPAC PUSHES MAJOR HOSPICE PAY REVAMP
Industry not happy about proposal for abrupt change. The Medicare Payment Advisory Commis... Read more
Reimbursement:
HOSPICES MAY NEED MORE DETAILS FROM DOCTORS
MedPAC also targets 5 hot spots including nursing home relationships. The new recommendat... Read more
HOSPICES MAY NEED MORE DETAILS FROM DOCTORS
MedPAC also targets 5 hot spots including nursing home relationships. The new recommendat... Read more
Studies & Surveys:
SENIORS LOOK TO TECHNOLOGY TO HELP THEM REMAIN AT HOME
Usability, affordability, and availability of technical support are keys to success. It's... Read more
SENIORS LOOK TO TECHNOLOGY TO HELP THEM REMAIN AT HOME
Usability, affordability, and availability of technical support are keys to success. It's... Read more
Competitive Bidding:
CMS RELAUNCHES DME COMPETITIVE BIDDING PROGRAM
Despite some changes, major flaws remain,industry reps charge. Suppliers hoping for a sig... Read more
CMS RELAUNCHES DME COMPETITIVE BIDDING PROGRAM
Despite some changes, major flaws remain,industry reps charge. Suppliers hoping for a sig... Read more
Industry Notes:
CMS GIVES PROVIDERS AN EXTRA 2 YEARS TO IMPLEMENT ICD-10
New coding system target date is 2013, according to final rule. If you were concerned abo... Read more
CMS GIVES PROVIDERS AN EXTRA 2 YEARS TO IMPLEMENT ICD-10
New coding system target date is 2013, according to final rule. If you were concerned abo... Read more
Reader Question:
DON'T LET PT VISIT CONFUSION MESS UP YOUR SOC DATE
Here's how to coordinate your nurses' and therapists' assessments. Question: Our clinicia... Read more
DON'T LET PT VISIT CONFUSION MESS UP YOUR SOC DATE
Here's how to coordinate your nurses' and therapists' assessments. Question: Our clinicia... Read more
Prospective Payment System:
MedPAC Wants Congress To Whack HHA Payments 10%
The influential advisory body blasts agency profit margins in its latest recommendations.... Read more
MedPAC Wants Congress To Whack HHA Payments 10%
The influential advisory body blasts agency profit margins in its latest recommendations.... Read more
Budget:
MedPAC Cuts Would Put Majority Of HHAs In The Red
Industry fights back against proposed reductions Industry representatives were quick to d... Read more
MedPAC Cuts Would Put Majority Of HHAs In The Red
Industry fights back against proposed reductions Industry representatives were quick to d... Read more
Contractors:
34 States Get New Medicare Contractor For HHA & Hospice
HHAs served by new MACs are in for tough times, expert predicts. The Medicare program's p... Read more
34 States Get New Medicare Contractor For HHA & Hospice
HHAs served by new MACs are in for tough times, expert predicts. The Medicare program's p... Read more
Diagnosis Coding:
CMS Sets the ICD-10 Record Straight -- Get The Facts
It's not too early to get in touch with software vendors. The OASIS Manual's Attachment D... Read more
CMS Sets the ICD-10 Record Straight -- Get The Facts
It's not too early to get in touch with software vendors. The OASIS Manual's Attachment D... Read more
Industry Notes:
CMS: Suppliers Should Apply For Accreditation This Month
The agency's suggested deadline takes suppliers by surprise. There's no time to waste if ... Read more
CMS: Suppliers Should Apply For Accreditation This Month
The agency's suggested deadline takes suppliers by surprise. There's no time to waste if ... Read more
Reader Questions:
Master This Tricky Recertification Timing Issue For Part B Therapy
HHAs offering outpatient therapy shouldn't create more work for themselves due to the new... Read more
Master This Tricky Recertification Timing Issue For Part B Therapy
HHAs offering outpatient therapy shouldn't create more work for themselves due to the new... Read more
OASIS:
PREPARE NOW FOR OASIS-C WITH THESE 5 STEPS
Take a good hard look at your clinical processes soon to avoid last-minute pressure. Y... Read more
PREPARE NOW FOR OASIS-C WITH THESE 5 STEPS
Take a good hard look at your clinical processes soon to avoid last-minute pressure. Y... Read more
Strategy:
PREPPING FOR OASIS-C? ASK YOURSELF THESE VITAL QUESTIONS
These important questions will help you assess your clinical processes and make improveme... Read more
PREPPING FOR OASIS-C? ASK YOURSELF THESE VITAL QUESTIONS
These important questions will help you assess your clinical processes and make improveme... Read more
Fraud & Abuse:
OIG GREEN LIGHTS DME LOAN CLOSET ARRANGEMENT
Watchdog agency is concerned about aggressive DME marketing, it says. If you'd like to ma... Read more
OIG GREEN LIGHTS DME LOAN CLOSET ARRANGEMENT
Watchdog agency is concerned about aggressive DME marketing, it says. If you'd like to ma... Read more
Accreditation:
DON'T FAIL INFECTION-PREVENTION STANDARDS: HERE'S HOW
4 tips dramatically reduce your risk of spreading germs. You and your employees come into... Read more
DON'T FAIL INFECTION-PREVENTION STANDARDS: HERE'S HOW
4 tips dramatically reduce your risk of spreading germs. You and your employees come into... Read more
Compliance:
ZPICs START UP NEXT MONTH
Don't be surprised to receive program integrity-related requests from a new organization.... Read more
ZPICs START UP NEXT MONTH
Don't be surprised to receive program integrity-related requests from a new organization.... Read more
Industry Notes:
OIG KEEPS FRAUD SPOTLIGHT ON DME INDUSTRY
Report singles out suppliers for scrutiny. The HHS Office of Inspector General wants HHS ... Read more
OIG KEEPS FRAUD SPOTLIGHT ON DME INDUSTRY
Report singles out suppliers for scrutiny. The HHS Office of Inspector General wants HHS ... Read more
Quality:
Medicare's New 5-Star Rating System Could Hit Home Health
Nursing homes are the first providers ranked by the system. If you're not too worried abo... Read more
Medicare's New 5-Star Rating System Could Hit Home Health
Nursing homes are the first providers ranked by the system. If you're not too worried abo... Read more
Fraud & Abuse:
CMS Finalizes Surety Bond Requirement For DME Suppliers
Agency also revokes billing privileges for more than 1,100 suppliers in Florida, L.A. The... Read more
CMS Finalizes Surety Bond Requirement For DME Suppliers
Agency also revokes billing privileges for more than 1,100 suppliers in Florida, L.A. The... Read more
Compliance:
Watch Out For Unexpected Compliance Risk From FTC
FTC says health care providers could be considered 'creditors.' Health care organizations... Read more
Watch Out For Unexpected Compliance Risk From FTC
FTC says health care providers could be considered 'creditors.' Health care organizations... Read more
Oxygen:
Punishing Oxygen Payment Rule Set For Jan. 1 Implementation
CMS raises payment rates slightly for labor HCPCS codes. Significant political support wa... Read more
Punishing Oxygen Payment Rule Set For Jan. 1 Implementation
CMS raises payment rates slightly for labor HCPCS codes. Significant political support wa... Read more
Patient Safety:
Beware Of Elder Abuse Lurking Amongst Your Patients
More than 1 in 10 of those you treat could be suffering. Despite the increase in awarenes... Read more
Beware Of Elder Abuse Lurking Amongst Your Patients
More than 1 in 10 of those you treat could be suffering. Despite the increase in awarenes... Read more
Industry Notes:
Unique Pharmacist Program Helps Hospital Readmissions
Home care patients ideally suited for a pharmacist's help, project finds. If you're looki... Read more
Unique Pharmacist Program Helps Hospital Readmissions
Home care patients ideally suited for a pharmacist's help, project finds. If you're looki... Read more