Knowing the top claims denial reasons from Medicare Administrative Contractors (MACs) is helpful for home health agencies aiming to maintain financial stability and ensure timely reimbursement. By identifying and addressing the root causes of denials, providers can improve their billing and coding practices, optimize cash… Read More »Top Claims Denial Reasons from MACs
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
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
2023 is looking like a double-edged sword for the home health industry as it is poised to bring challenges, as well as opportunities. Medicare payment cuts will still have an impact on home health, which, consequently, will have a major influence on how home health… Read More »2023 Top Home Health Industry Forecasts
A recent survey on home-based care providers, including home health, shares insight into the financial health and growth strategy of these organizations going into 2023. While there’s a huge chunk of survey participants, 65% to be exact, that agree with the incredible growth of home… Read More »Business Growth and Financial Health in Home-Based Care for 2023
Following the release and revision of the draft manual in May 2022, the Centers for Medicare and Medicaid Services (CMS) released the Final OASIS-E Guidance Manual on December 14. The final manual is available for download on the CMS website under the OASIS User Manuals… Read More »Final OASIS-E Guidance Manual: What Changed?
