Home Health Blogger

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

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 Feb 10, 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 Coding: The Real Reason for ICD-10-CM

There have been delays…

Like the rest of the planet, Home health EMRs and other home health consultants have implement ICD-10-CM. On January 16, 2009, the Department of Health and Human Services (HHS) published a regulation requiring the replacement of ICD-9 with ICD-10 as of...

Posted by Steven Steggles on Nov 28, 2016

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