Home Health & Hospice Week
You might want to beef up your OASIS submission procedures
You might want to beef up your OASIS submission procedures, since intermediaries will be checking that you have OASIS data submitted for claims you file. When OASIS C started in January 2010, "submission of the OASIS became a condition of payment," home health MAC NHIC explains on its website. "CMS requires medical reviewers to ensure the OASIS has been submitted and accepted to the state repository." Missing OASIS data will result in denied claims. "Upon review, NHIC, Corp is finding claims where the OASIS is not present in the state repository," the MAC cautions. "Providers must ensure they are meeting this requirement." And it won't be good enough to submit OASIS data after the fact. "If a provider receives a denial because the OASIS was not found, they must submit evidence of submission and acceptance of the OASIS prior to submission of the claim with their appeal," NHIC says.
Home Health & Hospice Week
- Reimbursement:
Use These 8 New HHA Billing Codes Correctly Starting Jan. 1
Don't waste time waiting for an official transmittal from Medicare. You'll have 14 discipline and [...] - Reimbursement:
7 Steps Help You Avoid PECOS Rejections Next Year
It's not too early to get on top of this potentially reimbursement-draining edit. PECOS edits [...] - OASIS:
Follow The 3 Ws To Accurately Track Ambulation Improvement
4 scenarios reveal your ability to choose the correct score for M1860. If you fail [...] - Refer To This Cheat Sheet For 1860 Responses
Score 0 if patient can ambulate everywhere without device or human assistance. Score 1 if [...] - Diagnosis Coding:
3 Tips Help Audit-Proof Your Diagnosis Coding
Coding for case mix is bound to leave your claims hanging under audit. Audits of [...] - Education:
4 Ways To Get Your Money's Worth From Professional Conferences
Check out these preparation and notetaking tips. Attending a conference is a great opportunity to [...] - Education:
Attention, Conference-Goers:Don't Overlook Tax Write-Offs
Attending a meeting to boost a career move may be deductible. If your employer reimburses [...] - Industry Notes:
Reimbursement Cut Hampers Regulatory Compliance
Starting Jan. 1, you have 5 percent less on average to work with. Home health [...] - Home care providers may not have gotten
Home care providers may not have gotten everything they wanted on their legislative Christmas lists, [...] - If your final claim gets rejected with reason code C7080
If your final claim gets rejected with reason code C7080, don't just submit another request [...] - In the holiday rush, don't forget
In the holiday rush, don't forget to make sure your referring physicians start dating their [...] - Afederal watchdog agency is continuing its scrutiny
Afederal watchdog agency is continuing its scrutiny of Medicaid home care services, and the results [...] - Stay tuned for educational materials from CMS
Stay tuned for educational materials from CMS on the new face to face encounter (FFE) [...] - You might want to beef up your OASIS submission procedures
You might want to beef up your OASIS submission procedures, since intermediaries will be checking [...] - Your troubles with the Joint Commission's National Patient Safety Goal
Your troubles with the Joint Commission's National Patient Safety Goal on medication reconciliation may soon [...] - You may be able to improve outcomes
You may be able to improve outcomes in your patients with better recognition of anxiety [...] - As the weak economy continues and states' budget crises deepen
As the weak economy continues and states' budget crises deepen, home care funding is put [...] - Put another item on your regulatory to do list for 2011
Put another item on your regulatory todo list for 2011 -- implementation of the new home [...] - Medical Review:
Protect Your Alzheimer's Patients' Claims Against Denial
Review denies staggering 92 percent of claims. You'll have to beef up your documentation if [...] - Reader Question:
Use This Method To Document Your Patient Transfer Checks
You may want to take a page from this home health agency's playbook. Question: We [...]
