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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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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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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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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 …

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CLARITY for Home Health Agencies

In Blog, COVID-19, 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 COVID-19, 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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New Code for COVID-19 Effective April 1

In COVID-19, ICD-10, News by Lisa Selman-Holman7 Comments

The new code for COVID-19, U07.1, is one of two new codes to be added to the code set effective April 1, 2020. New codes are usually effective on October 1, except in the case of emergency, so we will have two codes in the new U chapter, one for COVID-19 and one related to vaping. There is currently no …

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ICD-10-CM Coding for Home Health Workshop – Sacramento, CA

In by Sarah BaconLeave a Comment

Program Overview Now includes what coders need to know about PDGM! Change is the name of the coding game. New codes, new tabular list changes, new guidelines and new Coding Clinic interpretations, plus new home health payment changes require us to stay ahead of the game. Increase your knowledge and understanding and gain the expertise your agency needs to survive …