Don’t wait until the round is over to implement improvements. Seeing the error of your billing ways — and changing them immediately — could get you off punishing Targeted Probe … Continue Reading →
High-profile cases paint industry with fraud brush. The hospice industry continues to draw fraud-fighting attention from the feds, as shown in a recent report on the Health Care Fraud and … Continue Reading →
New quality measure aims to ID discharges followed by hospitalization or death. Concerns about hospices discharging patients alive continue, and a newly proposed quality measure takes aim at the sore … Continue Reading →
Your ALJ success rate should factor into your decision, legal experts advise. Don’t forget that the Low-Volume Appeals route isn’t the only way to speed your resolution of Medicare claims … Continue Reading →
Do your staff understand the difference between ‘Partial/moderate’ and ‘Substantial/maximal’ assistance when scoring mobility? In OASIS-D, the Centers for Medicare & Medicaid Services proposes that clinicians score the following abilities based on this … Continue Reading →
Now’s the time for clinicians to polish their general OASIS coding skills. With the OASIS-D changes bearing down on home health agencies, providers are ready to take action — but … Continue Reading →
23 Tip: Make real-life scenarios part of your staff training. Come January, your reimbursement, outcomes, star ratings, and more will depend on a seriously revamped OASIS tool. Use this expert … Continue Reading →
From medical review to star ratings to surveys, expect the revised assessment tool to have a big effect. Don’t let OASIS-D’s impact on a wide variety of your agency’s areas … Continue Reading →
Two items will also be deleted only at certain time points. Last year, the Centers for Medicare & Medicaid Services said it was dropping 31 items from OASIS in 2019 totally and … Continue Reading →
The industry is still living down the Dr. Jacques Roy case. Don’t expect fraud and abuse scrutiny to let up any time soon, with the HHS Office of Inspector General reporting $2.4 … Continue Reading →
