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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 …

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International Infection Prevention Week: October 18 – 24, 2020

In News by Mary MadisonLeave a Comment

Yes, there’s a week for this and it couldn’t be timelier this year and this week (every week actually). COVID-19 has shown the world what we’ve always known—infection preventionists (IPs) are essential to keeping the world safe. In addition to all the usual suspects (healthcare-associated infections, resurgence in measles outbreaks, flu season, etc.), the infection prevention and control community is …

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Last chance to save HHQI resources!

In Home Health, News by Sarah BaconLeave a Comment

The Home Health Quality Improvement National Campaign website and the HHQI University learning portal will be discontinued on November 1, 2020. The HHQI website has a treasure of FREE resources to use for your QAPI projects and quality improvement activities – Best Practice Intervention Packages (BPIPs) for reducing acute care hospitalizations, improving dyspnea, oral meds, pain management, and ADLs, as …

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Pharmacy Partnership for Long-Term Care Program

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

Late afternoon Friday, October 16, 2020, NHSN/CDC sent the following letter to NHSN LTCF Users: Dear NHSN Long-term Care Facility Users, Immunization with a safe and effective COVID-19 vaccine is a critical component of our Nation’s strategy to reduce COVID-19 related illness, hospitalizations, and deaths. Early in the COVID-19 vaccination program, there may be a limited supply of COVID-19 vaccine …

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MLN Fact Sheet: ICD-10-CM, ICD-10-PCS, CPT and HCPCS CODE SETS

In ICD-10, News by Mary Madison2 Comments

I just ran across this great updated (September 2020) MLN Fact Sheet.  This 6-page educational tool gives health care providers, suppliers, medical coders, billing and claims staff an easy reference to information on the code sets used to bill Medicare claims. Use this tool when submitting inpatient and outpatient diagnoses, procedures, and supplies on Medicare claims.  This is a resource …

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Interim Final Rule (IFC), CMS-3401-IFC; Requirements and Enforcement Process for Reporting COVID-19 Data Elements for Hospitals and CAHs

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

On October 6, 2020, CMS issued this QSO-21-03-Hospitals/CAHs memorandum.  This is a 12-page memorandum. Also included with this QSO is a Hospital Mandatory COVID-19 Reporting Enforcement Workflow document: Facilities to Report The following hospitals should report the data elements specified in the table below on a daily basis, except Psychiatric and Rehabilitation hospitals will report weekly: Short term Long term …

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CDC Updates “How COVID is Spread” Webpage

In COVID-19, News by Mary Madison2 Comments

On October 5, 2020, CDC issued updated guidance to its How COVID-19 Spreads website, which includes information about the potential for airborne spread of the virus that causes COVID-19.  This updated guidance was announced via a Media Release. “CDC continues to believe, based on current science, that people are more likely to become infected the longer and closer they are …

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Boo to the Flu!

In News by Mary MadisonLeave a Comment

Get your flu vaccine by Halloween. The Department of Health and Human Services (HHS) is waging a campaign for citizens to get their flu shot and get it early this year.  You can help.  Encourage your residents, staff, families, friends, visitors, vendors, etc. to get this flu shot. The flu can be scary, especially for the ones we love most. Luckily, …

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Hospice QRP APU FY 2021: Successful Facilities List Posted

In Hospice, News by Mary MadisonLeave a Comment

On October 1, 2020, CMS posted the list of successful hospices for FY 2021 Hospice QRP.  These hospices met the CY 2019 hospice quality data reporting requirements that impact FY 2021 payment.  Successful hospices receive their full annual payment update (APU). As stated in the Fiscal Year 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements …

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[On-demand webinar] New codes, guidelines & guidance: Coding year 2021

In Home Health, Hospice, ICD-10 by Sarah BaconLeave a Comment

Stay up-to-date on ICD-10 coding changes In this on-demand webinar, Lisa discusses the changes slated for October 1, including new codes, guidelines, and Coding Clinic guidance pertinent to home care and hospice. Do you understand the impact of your coding on PDGM? What are the more common errors that you can avoid?  Get the latest coding changes and PDGM updates …