Home Health Blogger

Peggy Mathews

Recent Posts

Home Health Billing: Pre-Claim Review Updates

The home health billing Pre Claim Request (PCR) CoversheetPDF was updated to include all the options available for submitting PCR requests.  Please note that if you submit your request via myCGS, and want the PCR decision notification letter faxed to you, please include your fax...

Posted by Peggy Mathews on Nov 16, 2016

Home Health Billing: Medicare is on the Warpath for Never-Ending Re-Certifications

LAZINESS OR NECESSITY? It’s pretty easy to keep a patient around by sending in a nurse to administer a B12 shot or take vital signs once a week, perhaps  by throwing in an occasional PT visit for home health billing.

Posted by Peggy Mathews on Nov 14, 2016

Denial of Home Health Billing Payments When OASIS Not Received

Per the Code of Federal Regulations (CFR) at 42 CFR 484.  210(e), effective Date: April 1, 2017, submission of an Outcome and Assessment Information Set (OASIS) assessment for all Home Health Billing (home health) episodes of care is a condition of payment.  If the OASIS is not...

Posted by Peggy Mathews on Nov 9, 2016

Home Health Billing: Get Paid Faster with Perfect Medicare Finals

Home Health Billing and Coding: Submitting a Perfect Medicare Final

The path to fast payment of a claim is a no-brainer – make sure the Final is error-free.  Medicare rejects a claim on an error-by-error basis. You can fix one mistake and the inspector then re-examines the claim for...

Posted by Peggy Mathews on Oct 26, 2016

Home Health Medicare Billing: A RAP is Just a Loan

Home Health Medicare Billing: I am constantly surprised at how many agencies authorize RAP after RAP and then seem to forget about the final claims. It’s great to get that advance payment and use it as Medicare intended, in order to keep your agency humming along. One must remember...

Posted by Peggy Mathews on Mar 3, 2015