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 …
Claims Updated 10/1
The 2021 ICD-10-CM codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021 and for patient encounters occurring from October 1, 2020 through September 30, 2021. The updates based on discharge dates apply only to hospitals. The HIPAA requirement for medical code sets is any date of service after the code effective date. This …
Oct. 1, 2020 is quickly approaching, master 2021 ICD-10 updates with ease
Whether you need a quick update of the new 2021 codes and guidance or a full ICD-10 coding course, Selman-Holman has you covered. [Live Webinar] New codes, guidance & guidelines: What you NEED to know for coding year 2021 Sep. 17, 2020 | 12:00-1:15pm CT Join Lisa as she discusses the changes slated for October 1, including new codes, guidelines, …
Penalty for Delayed Request for Anticipated Payment (RAP) Submission – Implementation
CMS has issued a new MLN Matters Article MM11855: Penalty for Delayed Request for Anticipated Payment (RAP) Submission – Implementation (PDF). This MLN Matters Article is for Home Health Agencies (HHAs) who wish to bill Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries. The article informs you about the implementation of the Calendar Year (CY) 2021 Home Health (HH) …
OIG Report: Medicare Overpaid HHAs $191.8 Million
The Office of Inspector General released a report this last week of July that revealed overpayment of home health agencies. The OIG audit covered approximately $1.25 billion in Medicare payments to HHAs for 549,768 claims. These claims were for home health services provided in CY 2017. Because of the large increase in payment starting with the fifth visit, OIG focused …
It’s Back! Review Choice Demonstration Returns.
It’s ba-a-a-c-c-k-k ! Review Choice Demonstration returns! If you are a home health provider in Illinois, North Carolina, Ohio, Florida or Texas, CMS will “discontinue exercising enforcement discretion” for the Review Choice Demonstration for Home Health Services beginning on August 3, 2020, regardless of the status of the public health emergency. The initial choice selection period will begin in North …
Quality Reporting Resumes July 1, 2020
Both hospice and home health providers are required to resume quality data reporting for episodes beginning on or after July 1, 2020. The Centers for Medicare and Medicaid Services (CMS) provided an exception for hospice and home health providers from submitting quality data due to the Public Health Emergency (PHE) for three calendar quarters – October 1, 2019 through June 30, 2020. Even …