Home Health & Hospice Week
Get Training On Conditions Of Participation, HIPAA Changes
Plus, catch up on reimbursement updates and requirements
You can receive vital information on these topics from the comfort of your own office:
• Rules of Engagement — Getting Back to Basics: Conditions of Participation (Part 1). Tues. July 2, 1 p.m. ET. With the first batch of alternative sanctions for noncompliance with Medicare COPs beginning July 1, you need to understand COP basics. Clinical and regulatory expert Arlene Maxim will explain the critical need to understand each COP and the impact of misunderstanding the basic foundation upon which home care is based. For more information, go to www.audioeducator.com/home-health/cops-compliance-070213.html or call 1-866-458-2965.
• ARRA, HITECH, and HIPAA — The HIPAA Omnibus Update Means New Rights for Patients and New Restrictions on Providers. Thurs. July 11, 1 p.m. ET. The law now requires HHS to conduct a regular HIPAA compliance audit program — not just audits caused by complaints or reported breaches. The new audit program is already underway and being expanded in 2013. HIPAA expert Jim Sheldon-Dean will take you through the new regulations and their effects on usual practices. You will learn what policies and evidence you need to produce if you are audited by the HHS Office for Civil Rights. And you will get a rundown on the process to be used in determining whether or not a breach is reportable, how the new regulations change the way individuals have access to their records and much more. For more information, go to www.audioeducator.com/hipaa/hipaa-updates-071113.html or call 1-866-458-2965.
You also can order recordings or transcripts of these recent audio conferences:
• Use of M1024 on Home Health Reimbursement in 2013. The changes in M1024 this year have had a marked impact on home health agencies. While agencies are still able to receive the higher reimbursement for skin one, diabetes and neuro one replaced by a V code in M1020, the sequencing of codes is very important. Expert speaker Judy Adams discusses the pairing and sequencing of V codes with case mix diagnoses in M1020 and M1022, the definition of resolved diagnoses, and the added importance of capturing all of the other relevant co-morbidities as well as accuracy in all other OASIS case mix items, and more. For more information, go to www.audioeducator.com/coding-updates/use-of-m1024-on-home-health-reimbursement-in-2013-022613.html or call 1-866-458-2965.
• Coding and Documentation Vital to Your Home Health Claims. Every home health agency wants to submit a compliant claim to Medicare for payment. But in your haste to get the bill out the door and reimbursement in the door, are you triggering red flags that could result in denials? Find out from nurse consultant Ann Rambusch how codes, OASIS M items, failure to adequately document the physician face-to-face encounter, skilled services, homebound status, and the focus of the plan of care can lead to claim denials — and how to avoid them. For more information, go to www.audioeducator.com/home-health/coding-and-documentation-for-home-health-021913.html or call 1-866-458-2965.
Note: To browse and register for Eli home care and hospice audioconferences, go to www.audioeducator.com and select the "home health" or "hospice" tabs in the top bar. Or call 1-866-458-2965. Sessions are available via recording or transcript after taking place.
Home Health & Hospice Week
- Reimbursement:
Monitor Outlier Takeback Corrections Carefully
Software glitch recoups $10 million from HHAs in error. Medicare has moved quickly to correct [...] - Fraud & Abuse:
OIG Trots Out Laundry List Of Home Care Fraudsters In Semiannual Report
Plus: Watchdog agency takes ZPICs to task for overlooking HHA fraud. As 2014 budget negotiations [...] - Documentation:
Stamp Signatures Are Generally A No-Go, But Attestation Statements Can Be Your Friend
Break down CMS’s requirements before you take a chance on the wrong use of signatures. [...] - Compliance:
Know This Rubber Stamp Signature Change
Most home care providers know that a physician must either submit a handwritten or electronic [...] - Clip And Save:
Consider This Sample Signature Attestation Lingo
Medicare Administrative Contractor Novitas Solutions says that although CMS does not require you to use [...] - Industry Note:
OIG Wants Prorated Hospital Pay For Discharges To Hospice
Move could lengthen hospital stays unnecessarily, CMS counters. Hospice lengths of stay may get even [...] - Industry Note:
PECOS Records Found Lacking.
Home care providers are still waiting to hear when Medicare will turn on its so-called [...] - Industry Note:
Tune In To Free ICD-10 Training Call
If you’re looking for a helping hand getting ready for ICD-10 next year, CMS may [...] - Industry Note:
Lighten Your F2F Load
Don’t worry about including face-to-face documentation when your MAC requests supporting records for a patient’s [...] - Industry Note:
Pay Attention To Details For Hospice NOEs
Make sure you’re not glossing over the details of Medicare’s hospice benefit when you have [...] - Industry Note:
Hospices On Payment Hook For Vaccinations
Expect to get calls from other providers seeking payment for vaccinations starting this fall. Why? [...] - Industry Note:
Download New Pricer
Download the newest version of the home health PC Pricer at www.cms.gov/Medicare/Medicare-Fee-for-ServicePayment/PCPricer/HH.html. The CY 2013 [...] - Industry Note:
Hospice Medical Director Guilty Of Kickbacks
A hospice medical director has been found guilty of taking kickbacks in a Medicare fraud [...] - Industry Note:
Chain Sheds 50 Locations
After reporting a $122 million loss in the last quarter of 2012, home care chain [...] - Industry Note:
LHC Buys 4 Agencies
Chain LHC Group Inc. plans to acquire the assets of AseraCare Home Health for undisclosed [...] - Education:
Get Training On Conditions Of Participation, HIPAA Changes
Plus, catch up on reimbursement updates and requirements You can receive vital information on these [...]
