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 General
WOCN Clinical Fact Sheets (Updated)
WOCN Statement on Staging Pressure Ulcers (Updated)
OASIS C links
Best Practices Flow Sheet. The editable version is on our tools page.
Wound Ostomy Continence Nurses Society's Wound Care Guidance
2009 4th Quarter OASIS Questions and Answers from January 22, 2010
2009 3rd Quarter OASIS Questions and Answers
OASIS C CMS Regulatory Guidance This is the regulatory guidance from CMS. This is a large file.
New HHRG Tables effective January 2010
December 10, 2009 OASIS C Errata release from CMS
Requirements for Locking OASIS for Submitting RAP
Requirements for Locking OASIS for Submitting RAP2
OASIS B-1 links
OASIS CMS OCCB Q and A dated October 2008
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
Total list of all mln matters articles
Coding
Case Mix Variable and Scoring Table 4, formerly Table 2a
NRS Scores Table 6, formerly Table 10a
2010 ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2009
2009 ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2008
2008 ICD-9-CM Official Guidelines for Coding and Reporting
Effective October 1, 2007
Attachment D to OASIS chapter 8
Medicare Diagnosis Coding: Change in V Codes
Medlearn on Coding (Not updated and not specific to home health but still helpful)
Board of Medical Specialty Coding
Palmetto LCD/LMRPs on Therapy and Hospice Coverage
NPUAP National Pressure Ulcer Advisory Panel
PPS and Billing
CMS Limitation on Home Health Prospective Payment System (HH PPS) Outlier Payments
Additional Outlier Information from CMS
NUBC Approves Billing/Coding Changes effective July 1, 2010
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
Revised Overview of Risk Adjustment Models June 2008
Texas Medical Foundation (QIO)
OBQM/Adverse Events
Other Helpful Websites