Home Health Blogger

A Beginner's Guide to Home Health Billing

Home Health billing is full of detail and can be frustrating. Submitting claims to different payers takes ALOT of time because each payer has lots of little rules and terms for which you will be unfamiliar. Your software will only HELP you submit claims but it’s only a tool and you...

Posted by Debbie Bartlett on Mar 8, 2018

Are Your Physicians Billing Home Health Claims for CPO?

'Care Plan Oversight' can earn physicians thousands per month. Provide the following guidance to physicians to enhance your referral-building relationships.

adapted from the Medicare Learning Series: Care Plan Oversight (CPO) is physician supervision of patients under either the...

Posted by Melissa Cott on Jan 23, 2018

Proper Home Health Coding for Medicare OASIS

Proper home health coding for Medicare OASIS

The process of selecting correct diagnosis codes for a OASIS Start of Care, Re-Certification or Resumption of Care is very straightforward and uncomplicated.

Posted by Peggy Mathews on Feb 15, 2017

Denial of Home Health Payments when OASIS is not Received

Medicare Change Request (CR) 9585 directs Intermediaries to automate the denial of Home Health Care Billing Prospective Payment System (HH PPS) claims when the condition of payment for submitting patient assessment data has not been met on MyHomecareBiz. Make sure that your HH...

Posted by Peggy Mathews on Jan 2, 2017

Home Health Billing: 2017 CMS Changes to Quality Reporting

Section 2(a) of the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act) requires the public reporting of data on HHAs, Skilled Nursing Facilities (SNFs), Inpatient Rehabilitation Facilities (IRFs), and Long-Term Care Hospitals (LTCHs) quality measures and...

Posted by Peggy Mathews on Nov 28, 2016

Home Health Care Billing: 2017 Changes Rebase the 60-day Episode

The Affordable Care Act directs CMS to apply an adjustment to the national, standardized 60-day episode rate and other applicable amounts to reflect factors such as changes in the number of visits in a home care billing episode,

Posted by Peggy Mathews on Nov 23, 2016

Home Health Billing: 2017 Payment Changes Announced by CMS

The Centers for Medicare & Medicaid Services (CMS) have announced final changes to the Medicare home health billing prospective payment system (HH PPS) for calendar year (CY) 2017 that would foster greater efficiency, flexibility, payment accuracy, and improved quality....

Posted by Peggy Mathews on Nov 21, 2016

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