Home Health & Hospice Week
Understand This Therapy Reassessment Loophole
You'll be off the hook for a therapy patient's 30-day reassessment if the patient is in the hospital, but you'll need a lot of paperwork to back it up. So says HHH Medicare Administrative Contractor NHIC in a question-and-answer set from an August Ask the Contractor Teleconference. NHIC points to a recent CMS Q&A on the topic for guidance. "Where unexpected sudden changes in the patient's condition result in a stop therapy order, we would expect to see documentation and evidence in the medical record (including a physician order to stop therapy) which would support an unexpected change in the patient's condition which precludes delivery of the therapy service," CMS says in the Q&A, according to NHIC. "We will modify our manual to describe that in such documented cases the 30-day qualified therapist visit/assessment/measurement requirement can be delayed until the patient's physician orders therapy to resume," CMS adds.
Home Health & Hospice Week
- Patient Privacy:
Focus On Portable Device Protection In Your HIPAA Compliance Plan
Home care providers face special privacy risks. With HIPAA enforcement looking to ramp up in [...] - Compliance:
Take These 6 Steps To Shore Up Your HIPAA Compliance
The majority of home care providers are out of compliance, experts believes. Smart home care [...] - HIPAA:
Remind Home Care Workers Of Facebook Rules
Employees have a right to use social media, but must protect identifiable patient information. Another [...] - Budget:
President Obama Proposes Home Health Copayment
Expect a fight to avoid a $100 copay for nonhospitalized patients. You may find a [...] - Enrollment:
Your PECOS Edit Concerns May Be Over
At the very least, claims rejections from PECOS edits should be greatly reduced when they [...] - Industry Note:
RAC Audits Will Impact Medicaid Claims Jan. 1, CMS Says
Delays have given you more time to prepare. You've benefited from several delays to Medicaid [...] - Industry Note:
Medicare Requires Electronic Funds Transfer With Revali-dation
If you still receive Medicare payments via paper, don't expect that to last long. "Existing [...] - Industry Note:
Understand This Therapy Reassessment Loophole
You'll be off the hook for a therapy patient's 30-day reassessment if the patient is [...] - Industry Note:
HIPAA Problems Abound
Just because HIPAA breaches don't make the nightly news doesn't mean they aren't happening -- and [...] - Industry Note:
Expect To Serve More Managed Care Patients
Don't be surprised to see more Medicare Advantage managed care patients on your rolls in [...] - Industry Note:
Overpayment Logging Delays Creates Confusion
Don't freak out if you get a second overpayment letter from HHH MAC subcontractor National [...] - Industry Note:
Keep An Eye On 2012 Vaccination Pay Rate
With flu season nearly upon you, it may be time to brush up on your [...] - Industry Note:
CMS Pushes Back First Payment Bundling Deadline
Introducing bundling across provider types for Medicare payments may take a bit longer than CMS [...] - Industry Note:
Authorities Pound Medicaid Providers On Fraud
Authorities continue to pound Medicaid home care providers with the anti-fraud hammer. In Virginia, a [...] - Industry Note:
Beware Falls Problems For Patients With Poor Eyesight
You should consider putting your patients who have diminished eyesight on the watch list for [...]
