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Initial Visit and SOC Comprehensive Assessment – not the same thing!

In Blog, News by Sarah BaconLeave a Comment

Due to the COVID-19 Public Health Emergency(PHE), CMS has waived the Home Health Condition of Participation under 42 CFR § 484.55(a) regarding the initial assessment:  This change allows home health agencies to perform initial assessments and determine patients’ homebound status remotely or by record review. However, the initial assessment visit is NOT the same as the Start of Care comprehensive …

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CLARITY for Home Health Agencies

In Blog, News by Lisa Selman-Holman8 Comments

Annette Lee, RN, MS, COS-C from Provider Insights, Inc. has provided more clarity for home health agencies during this time. Read the full summary below. So, last night, CMS published a “Fact Sheet” of additional blanket waivers and flexibilities provided to the home health industry.  Immediately, we all heard different interpretations. Today, like many of us, I spent the day reading the …

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Interim Final Rule on Telehealth in Home Health CMS-1744-IFC

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

The HH PPS provides payment for all services furnished under the Medicare home health benefit as outlined in section 1861(m) of the Act in the form of a “bundled” 30-day unit of payment that is adjusted for case-mix and area wage differences in accordance with section 1895(b) of the Act. Section 1895(e)(1)(A) of the Act states that nothing under section …

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Interim Final Rule on Homebound

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

Interim Final Rule on Homebound CMS-1744-IFC Per sections 1814(a) and 1835(a) of the Act, an individual shall be considered to be “confined to his home” if the individual has a condition, due to an illness or injury, that restricts the ability of the individual to leave his or her home except with the assistance of another individual or the aid …

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Update #2: Changes in our World of HH & Hospice related to COVID-19

In Blog, ICD-10, News by Lisa Selman-Holman2 Comments

Annette Lee, RN, MS, COS-C from Provider Insights, Inc. has provided more updates on the information released by CMS related to COVID-19. Read the full summary below. Well, within 24 hours from my last email this week, we had more news and clarifications, and today, even better and bigger changes will provide us with a little relief!! I know you are …

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BREAKING NEWS: Z45.2

In Blog, ICD-10, News by Sarah Bacon9 Comments

Remember when the Coding Clinic said we couldn’t place Z45.2 as a secondary and our world as we knew it fell apart? Well, we can put those pieces back together. Follow along with Lisa in this quick 10-minute video as she breaks down the problem and provides the resolution!

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If a patient dies while under the care of the home health agency, do we have to complete a Discharge Summary?

In Blog, News by Sarah BaconLeave a Comment

After two years under the “new” Conditions of Participation, I’ve had a question that has come up several times in the last few weeks, so thought I’d share:  If a patient dies while under the care of the home health agency, do we have to complete a Discharge Summary? Researching the CoPs and Interpretive Guidelines: Everything in the CoPs and …