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Home Health Coding: The Real Reason for ICD 10-CM

The reason for the delays…

Home Health Coding - Like the rest of the planet, Home health EMRs and other home health consultants have implemented ICD-10 diagnostic codes. On January 16, 2009, the Department of Health and Human Services (HHS) published a regulation requiring the...

Posted by Melissa Cott on Oct 19, 2014

Home Health Software: How good is your 'Quality Assurance' Program?

Does your 'Performance Improvement' program REALLY work?

Medicare requires that “The group of professional personnel meets frequently to advise the agency on professional issues, to participate in the evaluation of the agency’s program...” Your home health software should have an...

Posted by Melissa Cott on Sep 29, 2014

Home Health Care Policies: Emergency Preparedness

Home Health Care Policies: Emergency Preparedness

In the event of a flood, fire, hurricane, tornado, blizzard, wind storm, and any other disaster that affects the delivery of scheduled home health care services, your agency should have the following emergency preparedness plan to...

Posted by Melissa Cott on Jun 11, 2014

Home Health Care Marketing Ideas: get Superior OASIS Outcomes

Home Health Care Marketing Ideas: Get Superior OASIS Outcomes

What would be the ideal 'opening dialogue' to have with a potential referral source like a physician or discharge planner?  It should go something like this...

"Hi Dr. Smith. You have a lot of choices of who to use for a Home...

Posted by Melissa Cott on Apr 15, 2014

How to Use ‘V-Code’ Home Health Care Coding Correctly on OASIS

The use of V-code home health care coding on OASIS is considered an “assignment of last resort.”

A V-code refers to a treatment protocol for a known disease, such as dialysis for kidney disease requiring, physical therapy for a fractured hip or medication monitoring for Coumadin or...

Posted by Melissa Cott on Apr 1, 2014

Home Health Care Billing Software: How to submit electronic claims

Home Health Care Billing Software: How to bill home health invoices…

Insurance companies (i.e. Medicare, Medicaid, Blue Cross/Blue Shield etc. and private payers) accept home health billing three (3) ways:

  • on paper
  • electronic submission by uploading an electronic file,
  • ...

Posted by Melissa Cott on Mar 26, 2014

How to Verify Insurance Eligibility for Home Health Billing

Certain payers operate on an eligibility system.

A home health agency (HHA) should find out how a payer agrees to pay before providing care and home health billing. Some payers require that you obtain “prior authorization” before care.

Posted by Melissa Cott on Mar 26, 2014

Home Health Billing Software: Why You Need a Billing Portal

To bill “paperless”…electronically submit claim files…you’ll need to subscribe to a billing portal.

Home Health Billing Software - Many payers (Medicare, Medicaid, Blue Cross/Blue Shield etc.) require that home health billing invoices (‘claims’) are submitted ‘electronically’ instead...

Posted by Melissa Cott on Mar 26, 2014