View Post

Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) – Manual Instructions

In Home Health, News by Mary MadisonLeave a Comment

Mary Madison, RN, RAC-CT, CDPClinical Consultant | Briggs Healthcare CMS has posted a 3-page MLN Matters Number: MM12256 for Home Health Agencies (HHAs) who submit bills to Home Health & Hospice Medicare Administrative Contractors (HH&H MACs) for services they provide to Medicare patients.  This article tells you about updates to Chapter 10 of the Medicare Claims Processing Manual to include instructions for …

View Post

Insight 2021 – agenda available now!

In Home Health, Hospice, ICD-10 by Sarah BaconLeave a Comment

Join us live in Nashville or online, Aug. 8-11, for our industry’s most comprehensive home health and hospice training event. Insight offers two complete tracks with 25+ hours of in-depth training plus online bonus sessions covering topics like hospice, QRP and OASIS timepoints.  Track 1 – Coding & OASIS PDGM challenges, lessons learned in RCD and navigating the PHE Updates for coding …

View Post

How to Avoid Denials and Adverse Audit Results Based on Homebound Status

In Home Health by Lisa Selman-HolmanLeave a Comment

This article is a repost from Elizabeth Hogue. Elizabeth E. Hogue, Esq. Office: 877-871-4062 Fax: 877-871-9739 E-mail: ElizabethHogue@ElizabethHogue.net Twitter: @HogueHomecare How to Avoid Denials and Adverse Audit Results Based on Homebound Status Medicare-certified home health agencies are justifiably concerned about recent fraud and abuse initiatives that target homebound status.  Agency managers perceive that they are extremely vulnerable regarding this issue …

View Post

Claims Updated 10/1

In Home Health, Hospice, News by Lisa Selman-Holman5 Comments

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 …

View Post

(Live stream online training) OASIS-D1: Regulatory and Guidance Update

In by Sarah Bacon8 Comments

October 28-29, 2020 | Online via live stream 8:30 AM – 4:30 PM Course info Join Lisa Selman-Holman and Teresa Northcutt for a comprehensive two-day training over OASIS-D1. While the OASIS Guidance manual has not been revised, there are new Q&As, COVID-19 waivers and the CARES Act that update guidance on many items. We will concentrate on the payment items …

View Post

(Live stream online training) Intermediate Coding with Updates

In by Sarah BaconLeave a Comment

September 22-23, 2020 | Online via live stream 8:30 AM – 4:30 PM Course info All updated with 2021 coding changes and up-to-date info 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 …

View Post

It’s Back! Review Choice Demonstration Returns.

In Home Health, News by Lisa Selman-Holman2 Comments

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 …

View Post

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 …

View Post

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 …