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

Train Nurses on the New OASIS C 'Advance Careplanning' Requirement

Documentation of a patient's Advance Care Planning is one of 3 new HOME HEALTH PROCESS MEASURES that are required under home health Value-based Purchasing.  HHAs in the 9 states have already started reporting on this measure as of October 7, 2016 through a Web Portal. Under...

Posted by Peggy Mathews on Oct 30, 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 Care Billing: Remember - a RAP is Just a Loan

Home Health Care 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 Jun 17, 2016

Home Health Billing: A RAP is Just a Loan

Home Health 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 that...

Posted by Peggy Mathews on Mar 3, 2015

Home Health Care Billing: A RAP is Just a Loan

Home Health Care 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 Dec 1, 2014