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...
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,
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. Approximately...
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 number...
Medicare is on Warpath for Never-Ending Home Health Recertifications
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, or perhaps by throwing in an occasional PT visit for home health billing. I’ve watched several agencies recertify patients not just month...
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 for...
Prepare for OASIS C2 Changes: M1060 - Height and Weight
This blog post will be covering new OASIS C2 item: M1060: Height and Weight
