LINKS
Regulatory Resources
HHS Proposes Adoption of ICD-10 Code Sets and Updated Electronic Transaction Standards
Medicare’s list of non-routine supplies and consolidated therapy procedures 2008
Transmittal 220, Change Request 5550 to the RHHIs - CMS sent Transmittal 220, Change Request 5550 to the RHHIs on August 24, 2007, effective date September 3, 2007 with several changes to Publication 100-08 Medicare Program Integrity manual. The change was contained in Section 3.4.1.1 Documentation Specifications for Areas Selected for Prepayment or Postpayment MR, (B) Signature Requirements. The new language eliminates the term “stamped signatures” as a permissible method of physician verification on medical records.
CMS Website Related to Home Health
Medicare Home Health Benefit Policy Manual (HIM-11)
Medicare Hospice Benefit Policy Manual (HIM-21)
State Operations Manual/ Interpretive Guidelines
State of Texas Regulatory Resources
Health and Safety Code Chapter 142
OASIS
OASIS CMS OCCB Q and A dated July 2008
OASIS CMS OCCB Q and A dated April 2008
OASIS CMS OCCB Q and A dated January 2008
OASIS CMS OCCB Q and A dated October 2007
Guide for entering artificial dates in M0090
Requirements for Locking OASIS for Submitting RAP
Requirements for Locking OASIS for Submitting RAP2
OASIS Certificate and Competency Board
WOCN Clinical Fact Sheets (Updated)
WOCN Statement on Staging Pressure Ulcers (Updated)
WOCN Guidance on Wounds (Updated)
Total list of all mln matters articles (Updated)
Coding
ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2008
ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2007
Medicare Diagnosis Coding: Change in V Codes
Medlearn on Coding (Not updated and not specific to home health but still helpful)
Board of Advanced Medical Coding
Palmetto LCD/LMRPs on Therapy and Hospice Coverage
PUAP National Pressure Ulcer Advisory Panel
PPS and Billing
Tables from Pseudocode - tables from the pseudocode, including Table 4, the list of V codes that have potential underlying case mix codes.
Contingency Plan for NPI Non-Compliance
The Consolidated Billing Master List is attached here.
HCPCS Codes Subject to Consolidated Billing 2006
Medicare Home Health Billing Manual
Medicare Hospice Billing Manual
Palmetto Reason/Remark Code Lookup
National Provider Identifier Information
OBQI Resources
Technical Documentation of OBQI Measure Calculation
Instructions for Using OBQI Measure Calculator
Risk Adjusted Outcome Reports for Each State
Overview of Risk Adjustment Models
Texas Medical Foundation (QIO)
OBQM/Adverse Events
Other Helpful Websites
Texas Association for Home Care