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Recent COVID-19 Updates & Information

In COVID-19, News by Mary MadisonLeave a Comment

The Texas Health and Human Services Commission has published an Infection Control Basics and Personal Protective Equipment for Essential Caregivers guide for nursing homes, assisted living facilities, intermediate care facilities, hospices and home and community-based services group homes. This is an 18-page guide with a date of November 9, 2020. Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing …

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New Codes for COVID-19

In COVID-19, Home Health, Hospice, Long-Term Care by Lisa Selman-Holman2 Comments

In an unprecedented move, the CDC has approved new codes for COVID-19 effective with dates of stay January 1, 2021 or later. Code changes are reserved for October 1 each year with April 1 as a date for emergency changes. April 1, 2020 was the effective date for the U07.1 code for COVID-19. New codes effective January 1 include J12.82, …

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NEW: Free PDGM grouper tool from Selman-Holman & SimpleLTC

In ICD-10, News, PDGM by Lisa Selman-Holman1 Comment

Our new PDGM grouper allows you to project Health Insurance Prospective Payment System (HIPPS) codes for expected revenue. Now you can easily project a HIPPS code based on the data at the beginning of the billing period, allowing for faster RAP submissions. The dollar amounts will be calculated based on the patient’s zip code. There is an indicator warning when …

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COVID-19 Updates for Thanksgiving Week 2020

In COVID-19, News by Mary MadisonLeave a Comment

I hope that everyone had a safe holiday week!   I’m putting these updates into a digest form so you can see what happened last week regarding COVID information. Updated Strategies for Optimizing the Supply of Facemasks (CDC) — This guidance has been updated to include the following: Added considerations for returning to conventional capacity practices Conventional Capacity Strategies Clarified healthcare …

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CMS to Retire the Original Compare Tools on December 1st

In Home Health, Long-Term Care, News by Mary MadisonLeave a Comment

CMS will retire the original Compare Tools on December 1st. Use Medicare.gov’s Care Compare to find and compare health care providers. In early September, the Centers for Medicare & Medicaid Services (CMS) released Care Compare on Medicare.gov, which streamlines our eight original health care compare tools. Since then, you’ve had the opportunity to use and familiarize yourself with Care Compare …

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[On-demand webinar] Operationalizing the RAP 2021

In Home Health, News, Online Training by Lisa Selman-Holman2 Comments

The RAP will not provide any payment to agencies beginning January 1, 2021, but agencies may be paying CMS 20% of their payment if they do not submit within 5 days after the SOC. The requirements are not the same, but certain elements leave agency leaders scratching their heads. In this free, on-demand webinar, Lisa presents the new requirements and …

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NEW: CMS COVID-19 Nursing Home Resource Center

In COVID-19, Long-Term Care, News by Mary MadisonLeave a Comment

The Centers for Medicare & Medicaid Services (CMS) launched a new online platform – the Nursing Home Resource Center – to serve as a centralized hub bringing together the latest information, guidance and data on nursing homes that is important to facilities, frontline providers, residents and their families, especially as the fight against coronavirus disease 2019 (COVID-19) continues. Previously, individuals …

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Breaking News: Incentive Payments to Nursing Homes Curbing COVID-19 Deaths and Infections

In COVID-19, Long-Term Care, News by Mary MadisonLeave a Comment

Just a few minutes ago, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced it will distribute approximately $333 million in first round performance payments to over 10,000 nursing homes. These nursing homes are being recognized for demonstrating significant reductions in COVID-19 related infections and deaths between August and September. “These …

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Weekly COVID-19 Data, Version 12 Toolkit and Other COVID-19 Updates

In COVID-19, News by Mary MadisonLeave a Comment

CMS has updated this toolkit – Version 12 is now available and it’s 192 pages in length. This toolkit includes recent information and guidance on vaccinations to prevent infection with influenza virus, pneumococcus, and SARS-CoV-2, the virus that causes COVID-19. CMS has posted COVID-19 Nursing Home data for week ending October 11, 2020. COVID-19 Frequently Asked Questions (FAQs) on Medicare …

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How to Avoid Denials and Adverse Audit Results Based on Homebound Status

In Home Health by Lisa Selman-HolmanLeave a Comment

This article is a repost from Elizabeth Hogue. Elizabeth E. Hogue, Esq. Office: 877-871-4062 Fax: 877-871-9739 E-mail: ElizabethHogue@ElizabethHogue.net Twitter: @HogueHomecare How to Avoid Denials and Adverse Audit Results Based on Homebound Status Medicare-certified home health agencies are justifiably concerned about recent fraud and abuse initiatives that target homebound status.  Agency managers perceive that they are extremely vulnerable regarding this issue …