Documentation:
Tap These Resources To Help Make Your Claims Bulletproof
Published on Fri Mar 16, 2018
Share tips and tools with your referring docs.
You can boost your compliance - and reimbursement - by making sure your claims won't fall prey to medical review denials based on certification and face-to-face encounter problems. Use the following resources to supercharge your policies and procedures surrounding documentation and billing accurately:
- Centers for Medicare & Medicaid Services MLN Matters article SE 1436 outlines physicians' documentation requirements for certifying patients for home health: www.cms.gov/Outreach-andEducation/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1436.pdf
- Palmetto GBA article about working with physicians on F2F documentation, including comments: http://palmgba.com/gbd/2013/05/efficiently-and-effectively-communicating-information-to-satisfythe-home-health-face-to-face-requirement/
- CGS article on getting your documentation into the physician record: www.cgsmedicare.com/hhh/pubs/news/2017/1117/cope5302.html
- CGS article emphasizing date of encounter and offering cert statement example: https://cgsmedicare.com/hhh/pubs/news/2018/0118/cope5731.html
- Links to CMS home health F2F and certification templates and CDEs, as well as ODF slides: www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Electronic-Clinical-Templates/Other-Benefit-Templates/Other-Templates-home-health.html
- CGS documentation checklist: www.cgsmedicare.com/hhh/education/materials/pdf/hh_documentation_checklist_tool.pdf
- National Government Services job aids: Go to www.ngsmedicare.com/ngs/portal/ngsmedicare/newngs/home-lob/pages/job-aids-manuals/ and scroll down for tools including "Home Health Certification Statement" and "Home Health Probe and Educate Tips."