Diagnosis Coding: Stop Using ICD-9 As A Coding Crutch
Remember, you won’t get any more GEMs. Question: I often find myself coding ICD-9 in my head and then using a tool to “translate” to ICD-10, just because I’ve used ICD-9 … Continue Reading →
Tag: LTC
Medical Review: Pay Attention To Midstream TPE Education
Improving your billing rate in the middle of a Targeted Probe & Educate round could save you. Seeing the error of your billing ways — and changing them immediately — … Continue Reading →
Regulations: Stark Law Fate Uncertain, CMS Administrator Indicates
Will a decades-long prohibition on physician referrals and ownership get the ax? Home care and other medical care providers have lived with Stark Law restrictions since the 1990s, but don’t … Continue Reading →
Managed Care: Watch For Business Opportunities As Medicare Allows MA Plans To Cover Aide Services
Key: Help show that aide services will ‘reduce avoidable emergency and healthcare utilization.’ Exactly how much a new broadening of the Medicare Advantage benefit rules will affect home care providers … Continue Reading →
OASIS: Submit Your OASIS-D Suggestions Before It’s Too Late
09 Comment early and often. If you think Medicare needs to change some things about the newly unveiled OASIS-D tool that takes effect Jan. 1, don’t wait until the last … Continue Reading →
Industry Note: Double-Check Who Is Signing Your Cost Reports
Some newly announced changes for home health agency cost reports may alter how you submit them. Transmittal 18, issued by the Centers for Medicare & Medicaid Services last month, updates Chapter 32, Home … Continue Reading →
Lawsuits: Patient Steering Suit Ruling May Open Door To More Legal Action
Hospital-based agencies should review their processes, attorneys advise. A patient steering lawsuit filed by a freestanding home health agency against a hospital in Indiana will move forward, possibly paving the … Continue Reading →
Budget: Look To Trump Administration Proposal For Budget Threats
Survey fees among resource-draining proposals. While most observers agree the Trump administration’s budget proposal is DOA as an entire document, politicians looking for ways to raise funds for their initiatives are likely … Continue Reading →
Audits: Use These 8 Pointers To Prepare For Medical Review
Target your education efforts by using your self-audit findings. Don’t wait until it’s too late to get ready for potential Recovery Audit Contractor reviews of your claims. And the … Continue Reading →
Utilization: RN Visits Tick Up Under Payment Reform
Social worker visits remain virtually unchanged under SIA policy. The jury is still out on whether Medicare’s hospice payment reform model implemented last year is fixing the benefit’s perceived problems, … Continue Reading →