Surveys may become much more focused on OASIS compliance. The HHS Office of Inspector General isn’t happy with how home health agencies are reporting falls data on OASIS, and big changes could be ahead as a result. The OIG notes [...]
Medicare Advantage growth hits 34-state provider hard. Enhabit Inc. is navigating some rough financial waters, with a possible sale its ultimate destination. “The Enhabit board, with the assistance of independent advisors, intends to launch a strategic alternatives process,” the Dallas-based [...]
Nearly 80 percent more data breaches occurred in 2022 than 2021. Cybersecurity professionals in healthcare need to stay on top of emerging threats before a data breach lands your organization on the front page. In addition to the traditional attacks [...]
Affiliation reporting requirements will be a bitter pill for home care providers to swallow. If you don’t perform due diligence on the backgrounds of those you work with, you could get ambushed with disenrollment. So indicates a new final rule [...]
One ophthalmologist in our sampling would lose $39,000 a year under the new proposal. Although eye care practices have the option of reporting either ophthalmological services codes or E/M codes for their patient encounters, many ophthalmologists and optometrists bill the [...]
Learn from these MAC examples. Vague wording is not going to cut it for the two-year-old requirement for the physician to include an estimate of how much longer the patient will require home health services. So indicates HHH Medicare Administrative [...]
Along with several new acronyms like VBM and MAV you'll need to know When the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) became law last year it removed the dreaded sustainable growth rate formula, which continually threatened to [...]
Cluster 4 will significantly help emergency physicians successfully report to avoid penalties in 2017 As reported in the February issue of ED Coding and Reimbursement Alert (Vol. 18, No. 2), CMS has retired 50 measures from the PQRS program for 2015 including [...]
You’ll need to know the type to choose the proper code. Your Cushing’s code choice will multiply by six next year when ICD-10 is implemented. The new diagnosis code set separates your choices based on what’s causing the hormone disorder. [...]
Question: Medicare denies our claims for flu vaccines with claim status codes of 254 and 255, which indicate problems with the principal diagnosis code. We are using Q2038 for Fluzone and G0008 for the administration, as we have done since [...]
