OASIS Alert
Visit Data Provide Opportunities For Benchmarking
If you can't explain why your utilization data is remarkably different from other agencies in your state, you could be asking for an investigation. Two regional home health intermediaries have reported benchmarks for home health claims from October to December 2002 for 30 states (see charts), but haven't separated it out per episode. "The calculation of the average spans all episodes any one beneficiary might have" within the quarter, explains a Palmetto GBA spokesperson. "The average visits per beneficiary for this report is calculated by dividing the total number of claim lines by the total number of beneficiaries within state and discipline for a given time frame." United Government Services' data includes claims for all home health patients during the time period, a UGS official tells Eli.
OASIS Alert
- OBQI:
ONE MORE BAR MAY DRIVEYOU TO DRINK - UNLESS YOU'VE LEARNEDTHE ROPES
If you've figured out how to read the outcome-based quality improvement reports, you're ready for [...] - Diagnosis Coding:
HAVE YOU HEARD ABOUT THE NEW PAYMENT DIAGNOSIS?
Here's how to master V and E codes V and E codes aren't going to [...] - Reimbursement:
UPDATE CODING'CHEAT SHEETS'TO PREVENT BILLING CHAOS
Follow these 5 tips to safeguard your reimbursement If you're facing a pile of returned [...] - Training Tips:
HOW TO HANDLE PRIVACY COMPLAINTS
How well you train your front line staff to handle complaints about OASIS or HIPAA [...] - PPS:
MEDPAC RECOMMENDS QUALITY PAY DIFFERENTIAL
If you think the kinds of patients you're seeing in home care has changed significantly [...] - Reader Question:
When Is A SNF Not A SNF? When It's A Rehab Facility
Q: The patient was discharged from the rehabilitation unit of a skilled nursing facility. This [...] - Assessment :
M0250 Can Dramatically Raise Clinical Severity Reimbursement
Make sure clinicians understand M0250, since their answers to this item can increase either your [...] - Benchmarking:
RHHIs Are Tracking Utilization - And So Should You
Keep yourself off your regional home health intermediary's hit list by comparing your utilization numbers [...] - Education:
Multiple Manifestations Count
When choosing diagnosis codes for diabetic patients, can you sometimes use more than one 250 [...] - Utilization:
Visit Data Provide Opportunities For Benchmarking
If you can't explain why your utilization data is remarkably different from other agencies in [...] - News You Can Use:
New Site Links You To Home Health Resources
CMS announces the birth of a new Web site. The Centers for Medicare & Medicaid [...]
