LUPA threshold decreases far outweigh increases for next year. While halving the massive productivity payment cut is the major reimbursement provision of the 2023 home health final rule, other requirements will also impact home health agencies’ payments. For example: The [...]
Question: What is the correct way to code for radium Ra 223 (Xofigo) therapy for a patient with advanced resistant prostate cancer? Texas Participant Answer: How you code this will depend on what your oncologist actually does in the therapy and whether [...]
You can satisfy your curiosity about who in your neighborhood is borrowing CARES Act Provider Relief Funds with a new public resource. A list at https://data.cdc.gov/Administrative/HHS-Provider-Relief-Fund/kh8y-3es6/data details “providers that received a payment from ... the Provider Relief Fund and who [...]
Warning: Learning curve likely steep. Although it may not always feel like it, many states have been enjoying a survey “honeymoon” since the drastically revised Home Health Conditions of Participation took effect in January. Now that respite is over. Why? [...]
Hint: Don’t leave $360 on the table by failure to identify extensive resection. When your surgeon excises a mandibular lesion, you will have to base your coding on the type of lesion that was removed, the approach that was used [...]
Plus: Encryption policy does nothing if you don’t actually follow it. If you’re a healthcare provider in Michigan, you can rest easy knowing that a state appeals court has ruled that unless a plaintiff can prove a “present, actual injury” [...]
Residents in central south states more likely to get antipsychotic prescriptions. Overall about 22 percent of nursing home residents were prescribed antipsychotic drugs in 2009-2010, but residents in the south central states were more likely to receive these drugs than [...]
Residents in central south states more likely to get antipsychotic prescriptions. Overall about 22% of nursing home residents were prescribed antipsychotic drugs in 2009-2010, but residents in the south central states were more likely to receive these drugs than those [...]
Plus: Medicare's hospice cap catch-up should end by next spring.If your CAHPS data didn't show up on Home Health Compare in April, it may be there when CMS refreshes the data in July.Referral sources and patients can now look up [...]
Face-to face, outliers, and quality data submission also discussed in latest Open Door Forum. Home health agencies are two months into the new therapy reassessment rules, and they have more questions than ever about how the requirements are supposed to [...]
