Home Health & Hospice Week
GET TO KNOW YOUR NEW CASE MIX DIAGNOSES
The Centers for Medicare & Medicaid Services' final rule on the prospective payment system not only expands diagnoses in the existing case mix diagnosis groups, it multiplies the number of groups more than five-fold.
Instead of the current four case mix diagnosis groups (neurological, orthopedic, diabetes and burns and trauma), the rule expands and breaks diagnoses out into these 22 new groups including hundreds of codes:
Blindness and low vision
Blood Disorders
Cancer and selected benign neoplasms
Diabetes
Dysphagia
Gait Abnormality
Gastrointestinal Disorders
Heart Disease
Hypertension
Neuro 1 - Brain disorders and paralysis
Neuro 2 - Peripheral neurological disorders
Neuro 3 - Stroke
Neuro 4 - Multiple Sclerosis
Ortho 1 - Leg disorders
Ortho 2 - Other orthopedic disorders
Psych 1 - Affective and other psychoses, depression
Psych 2 - Degenerative and other organic psychiatric disorders
Pulmonary disorders
Skin 1 - Traumatic wounds, burns and post-operative complications
Skin 2 - Ulcers and other skin conditions
Tracheostomy care (new from proposed)
Urostomy/Cystostomy care (new from proposed)
Note: For specific case mix codes, see Table 2B in the PPS refinements final rule at www.cms.hhs.gov/quarterlyproviderupdates/downloads/cms1541fc.pdf.
Home Health & Hospice Week
- Diagnosis Coding:
PREPARE NOW FOR MAJOR CODING SHIFT IN CLINICAL DIMENSION
Interactions between codes, OASIS items will shake things up in the new year.
Simple diagnosis coding mistakes [...] - Prospective Payment System:
NOTE THESE CLINICAL DIMENSION CHANGES
To obtain the payment you deserve under the new prospective payment system, you need to [...] - Reimbursement:
GET TO KNOW YOUR NEW CASE MIX DIAGNOSES
Learn these 2 additional categories for ostomies.
The Centers for Medicare & Medicaid Services' final rule [...] - Regulations:
TEST OUT NEW PPS GROUPER
Home health agencies waiting on pins and needles for new PPS grouper software heaved a [...] - Hospice:
DATA COLLECTION COULD EQUAL PAYMENT DRAIN
Changes to claims ill-timed, experts say.
Payment delays and even denials could greet you in 2008 [...] - Billing:
GET ANSWERS TO TOP HOSPICE CLAIMS QUESTIONS NOW
Tip: Include weekly breakdowns on monthly claims.
You have only a few months to master changes [...] - Industry Notes:
KEEP AN EYE ON NEW MEDICARE LEGISLATION
Cuts could develop quickly as congressional session winds down.
Previously proposed cuts to home care providers' [...] - Education:
MASTER THE PPS FINAL RULE BEFORE IT'S TOO LATE
Register for these audioconferences on PPS refinements, billing and therapy.
• “The [...]
