If you’re confused about the intersection of face-to-face requirements and diagnosis coding, you’re not alone — and the Centers for Medicare & Medicaid Services is getting to work on the issue. Question: “Have you had any updates from CMS on [...]
Directing employees to create “ghost notes” is among the crimes. After pleading guilty to a $1 million Medicare fraud scheme, the owner and operator of Sambritt Home Health in McAllen, Texas has received a stiff sentence. Miguel Angel Contreras admitted [...]
Value-based care delivery is here to stay, expert predicts. Home health agencies’ payment levels in 2025 depend on their quality scores right now, but many details of the Expanded Home Health Value-Based Purchasing program are just coming info focus. For [...]
Value-Based Purchasing rules may alter how acquisitions go down. Medicare is getting to training in earnest for the Expanded Home Health Value-Based Purchasing Model, dropping four new VBP resources plus new OASIS-E materials. In recent days, the Centers for Medicare [...]
Small fish in the big cohort pond are at risk of floundering, as are agencies in historically high utilization regions. Among the biggest challenges home health agencies face under the Expanded Home Health Value-Based Purchasing Model is one over which [...]
Will you qualify for the nationwide smaller or larger cohort? The Value-Based Purchasing program is expanding na-tionwide, and it will change how home health agencies are paid. Agencies need to get a firm grasp of the specifics as soon as [...]
Proposed rule for MPFS 2021 also continues some changes due to COVID-19. August 3 brought the introduction of the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (PFS) proposed rule from CMS – and there were quite a few surprises [...]
Don't forget your employees health information must remain confidential, too. Although the HIPAA Privacy and Security Rules and HITECH requirements certainly keep you busy enough in your privacy and security compliance efforts, these aren't the only laws and requirements that [...]
A new study by Johns Hopkins University researchers underscores what many home care providers have known for a long time - ordering physicians spend way less time on home care duties than they should. The researchers surveyed a nationally random [...]
Will new F2F clinical template help you? Scrutiny of your claims is heavier than ever, and physician certification - including the face-to-face encounter - is a hot target for reviewers. Inadequacy of physician documentation is a longstanding issue in home [...]
