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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...

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 for...

Posted by Steven Steggles on Nov 11, 2016

Prepare for OASIS C2 Changes: M1060 - Height and Weight

This blog post will be covering new OASIS C2 item: M1060: Height and Weight

Posted by Nathan Hope on Oct 28, 2016

Home Health Billing: Get Paid Faster with Perfect Medicare Finals

The path to fast payment of a claim is a no-brainer. Make sure the Final Claim is error-free.  Medicare rejects a claim on an error-by-error basis. You can fix one mistake...but the "inspector" will then re-examine the claim for other inconsistencies. This can be exceedingly...

Posted by Peggy Mathews on Oct 26, 2016

OASIS C2 Changes Coming January 1st - Are You Prepared?

With OASIS C2 being implemented on January 1st 2017, it’s extremely important that your agency or facility is educated with the upcoming changes. Because of this, we’d like to do our part in helping all agencies familiarize themselves with the new additions and modifications to OASIS.

Posted by Nathan Hope on Oct 17, 2016

Home Health Care Policies - Medicare Hospice Transparency Data (CY2014) Revealed

Info via CMS.gov:

Home Health Care Policies - Today, the Centers for Medicare & Medicaid Services (CMS) released a new dataset, the Hospice Utilization and Payment Public Use File (Hospice PUF). This data set, which is part of CMS’s suite of Medicare Provider Utilization and Payment...

Posted by Nathan Hope on Oct 14, 2016

Home Health Billing: Ease Your Frustration with Delayed Claims

Follow Up with Payers After Submitting Claims

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. 

Posted by Debbie Bartlett on Oct 10, 2016

Home Health Care Policies: CMS Announces Changes Affecting Long-Term Care Facilities

CMS finalizes improvements in care, safety, and consumer protections for long-term care facility residentsRevisions mark first major rewrite of the conditions of participation for long-term care facilities since 1991

Posted by Nathan Hope on Oct 3, 2016