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It’s Back! Review Choice Demonstration Returns.

In Home Health, News by Lisa Selman-HolmanLeave a Comment

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 …

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ICD-10-CM Diagnosis Codes: FY 2021 Available

In ICD-10, News by Mary MadisonLeave a Comment

FY 2021 ICD-10-CM diagnosis codes are available on the 2021 ICD-10-CM webpage. The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. These 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. 2021 Code …

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Quality Reporting Resumes July 1, 2020

In Home Health, Hospice, News by Lisa Selman-HolmanLeave a Comment

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 …

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2021 Release of ICD-10-CM Codes

In ICD-10, News by Mary MadisonLeave a Comment

Below is a repost of a Briggs post written by Mary Madison, RN, RAC-CT, CDP, Clinical Consultant, Briggs Healthcare. The 2021 ICD-10-CM codes are to be used from October 1, 2020 through September 30, 2021. Note: This replaces the FY 2020 release. These files listed below represent the FY 2021 ICD-10-CM. The FY 2021 ICD-10-CM is available in both PDF (Adobe) and XML file …

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CY21 Home Health Prospective Payment System Proposed Rule Released

In News by Mary MadisonLeave a Comment

Below is a repost of a Briggs post written by Mary Madison, RN, RAC-CT, CDP, Clinical Consultant, Briggs Healthcare. On June 25, 2020, CMS issued the annual home health payment proposed rule for calendar year (CY) 2021.  The CY21 Home Health PPS Proposed Rule is scheduled to be published in the Federal Register tomorrow, June 30, 2020. Two (2) important reads: CY21 HH PPS …

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CMS-R-131 Receives OMB Approval

In News by Mary MadisonLeave a Comment

The ABN, Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal.  The use of the renewed form with the expiration date of 06/30/2023 will be mandatory on 8/31/2020.  The ABN form and instructions may be found at:  https://www.cms.gov/Medicare/Medicare-General-Information/BNI/ABN.  The previous form was set to expire on March 30, 2020; OMB approved …

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CDC releases consolidated COVID-19 testing recommendations

In COVID-19, News by Mary MadisonLeave a Comment

Below is a repost of a Briggs post written by Mary Madison, RN, RAC-CT, CDP, Clinical Consultant, Briggs Healthcare. On Saturday, June 13, 2020, CDC “released consolidated recommendations for COVID-19 testing, including interim testing guidelines for nursing home residents and healthcare personnel, as well as testing strategy options for high-density critical infrastructure workplaces after a COVID-19 case is identified. These recommendations compile and update …

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FDA, CMS, CDC and OIG COVID-19 updates for 1st 2 weeks of June 2020

In COVID-19, News by Mary MadisonLeave a Comment

Below is a repost of a Briggs post written by Mary Madison, RN, RAC-CT, CDP, Clinical Consultant, Briggs Healthcare. CDC updated the following COVID-19 guidance during the 1st two (2) weeks of June: Using Telehealth to Expand Access to Essential Health Services during the COVID-19 Pandemic How to Wear Cloth Face Coverings Updated Clinical Questions about COVID-19: Questions and Answers NHSN LTCF Guide to Using …

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CARES Act Provider Relief Fund

In Blog, News by Lisa Selman-HolmanLeave a Comment

Attention home health agencies and hospices! If you see an unexpected Medicare payment from CMS this week deposited in your bank as “HHSPAYMENT”, don’t be alarmed, as these payments are not billing errors. These payments are part of the CARES ACT relief fund to help providers maintain stability during the COVID-19 crisis. CMS is sending $30 billion to all Medicare-reimbursed …

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

In Blog, News by Sarah Bacon1 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 …