Home Health Blogger

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

Medicare Part-B Therapy Cap Values for Home Health Billing (CY) 2017

Medicare Change Request (CR) 9865, describes the amounts and policies for Medicare Bart B outpatient therapy caps for home health billing CY 2017. For physical therapy and speech - language pathology combined, the 2017 therapy cap will be $1,980. For occupational therapy, the cap...

Posted by Steven Steggles on Nov 11, 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 Billing: How to Ease Your Frustration with Delayed Claims

The importance following up with Payers when submitting Home Health Claims:

Home Health Billing - It’s common sense that you should follow up with your payers after you send them claims... but many of us don’t do it. 

The sooner you know you have an issue with a claim, the sooner...

Posted by Debbie Bartlett on Oct 10, 2016

Home Health Care Policies: Incentives for ACOs to Improve Performance

CMS Announces Proposed Improvements to Medicare Shared Savings Program

Posted by Nathan Hope on Jan 29, 2016

Home Health Care Policies: New Medicare Value-Based Insurance Model

Posted by Nathan Hope on Sep 4, 2015