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BREAKING NEWS: Z45.2

In Blog, ICD-10, News by Sarah Bacon8 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 …

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Update at the 30-Day Time Point

In News, PDGM by Sarah Bacon2 Comments

Do we have to make changes at the 30-Day time point?  Yes!  The Claims Processing Manual states that “each claim must represent the actual utilization over the period.”  So if the focus of care for the first 30 days is resolved by day 28, you must update the diagnosis list for the second 30 day payment period to reflect the …

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Transitioning to iQIES – Watch Your Final Validation Reports!

In News by Sarah Bacon2 Comments

The clock is ticking loudly!!  Home Health Agencies (HHAs) are transitioning to iQIES (Internet Quality Improvement and Evaluation System) on January 1, 2020.  You’ve been transmitting your OASIS data sets to CMS via the QIES ASAP (Quality Improvement and Evaluation System – Assessment Submission and Processing) system since submission was required – many years! By now, your agency should have …

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PDGM and My Diagnosis List

In News, OASIS, Online Training, PDGM by Sarah Bacon3 Comments

A question that we all have pondered at some time over the last few months…How are those diagnoses going to get on that claim? What do they mean when they say the diagnoses don’t come from the OASIS? What if a new diagnosis is communicated to us in the middle of a 30-day period and a new OASIS is not …

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[On Demand Webinar] New Codes, New Guidance, New Guidelines: What you NEED to know for coding year 2020

In News, Online Training, Webinars by Sarah Bacon17 Comments

Join Lisa Selman-Holman for a webinar where she will discuss the changes slated for October 1, including new codes, guidelines, and Coding Clinic guidance pertinent to home care and hospice. Confused about “with” and its impact on your coding? Heard the latest on diabetic PVD and venous stasis? What do you code when the patient has an ulcer and has …

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ROC: The 3 Common Situations

In News by Sarah Bacon2 Comments

A Resumption of Care (ROC) assessment is required any time the patient is admitted as an inpatient for 24 hours or more for other than diagnostic tests. It always follows a transfer. There are 3 common situations with a ROC: 1.     The 1st is when the agency knows the patient was in the inpatient facility and knows when …

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Breaking News: RCD to begin in Ohio in September

In News by Sarah Bacon1 Comment

CMS has just announced that the Review Choice Demonstration (RCD) will begin in Ohio on September 30, 2019. The choice selection period will be August 16 – September 15.  Please see the CMS announcement below for more additional details about this as well as the CMS statement that it anticipates 60-90 days between beginning the demonstration in the remaining states of Texas, …

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[On-demand webinar] PDGM and OASIS-D1/Comprehensive Assessment

In News, OASIS by Sarah Bacon12 Comments

On Jan. 1, 2020, “business as usual” will be a thing of the past with OASIS-D1 and PDGM going into effect.  Unlike other providers, home health agencies bill based on clinicians’ documentation. Strong documentation will be the key to accurate coding when identifying the appropriate primary diagnosis to determine the clinical group and all pertinent diagnoses relevant to payment.  Consequently, …