Accurate and patient-specific coding is crucial to succeeding with the Patient-Driven Groupings Model (PDGM). Proper diagnosis coding ensures you receive the appropriate payment while addressing your patients’ healthcare needs. Submitting claims with coding errors can lead to the claim being returned to the agency for… Read More »Coding Reminders and Red Flags
According to a report from CGS Medicare, one of the top 5 Medical Review Denial Reasons for home health include the invalidity of physician certification, specifically when the required face-to-face (F2F) encounter was either missing, incomplete, or untimely. F2F encounter is crucial for coding and… Read More »4 Tips to Obtain Complete F2F Documentation
Assisting patients with safe medication management is one of the fundamental services that home health agencies can provide. The OASIS-E system has introduced a more holistic approach to safe and effective medication management by incorporating mechanisms that can help identify medication issues and barriers to… Read More »Optimizing Your Medication Documentation in OASIS-E
Three years after introducing the Patient-Driven Groupings Model (PDGM), is your agency applying best practices and the right strategies for accurate and compliant coding? Coding has become more critical and complex with the implementation of PDGM and recent developments of guidelines regarding the relevance of… Read More »F2F Encounter FAQs: Everything You Need to Know
The Centers for Medicare & Medicaid Services (CMS) recently updated the Home Health Quality Reporting Program (HH QRP) Measure Calculations and Reporting User’s Manual. This is the first update since the Version 1.0 Addendum in October 2020 and it includes important additions, deletions, language corrections,… Read More »[QRP] Quality Reporting Updates You Need to Know
With recent efforts to capture Social Determinants of Health and its impact on patient outcomes, starting April 1, 2023, 42 new codes will be added to the ICD-10-CM with 9 of those addressing issues like inadequate housing, health literacy, and personal history of abuse. These… Read More »ICD-10 Code Changes Effective April 1st; New SDoH Codes
The Biden administration announced that the COVID-19 public health emergency (PHE) is set to conclude on May 11, 2023, after 3 years. While home health stakeholders initially feared the end of the PHE, it appears that it may not have as significant an impact on… Read More »PHE Conclusion: What Does It Mean for Home Health?
In 2023, two significant changes have been introduced to home health: the new OASIS-E and the nationwide expansion of the home health value-based purchasing (HHVBP) program. Home health organizations must be knowledgeable of the new OASIS data set and the measures impacting the HHVBP Total… Read More »OASIS-E: A Key Factor in HHVBP Performance
Home health agencies currently have the option to deliver some services using telecommunications technology as part of COVID-19 Public Health Emergency (PHE) waivers granted by CMS to allow more flexibility for providers to provide consistent patient care. However, the Centers for Medicare & Medicaid Services… Read More »Heads-up: New Telehealth G-Codes
The Centers for Medicare & Medicaid Services (CMS) have released the January 2023 OASIS Q&A sessions, which provide guidance on OASIS-E documentation in complex situations. These questions which were received by the CMS help desk from Q4 of 2022 address certain topics about BIMS interview… Read More »More OASIS-E Guidance from the January 2023 OASIS Q&As
