Category \ Operational
The new Patient-Driven Groupings Model (PDGM) takes effect January 1, 2020. An updated version of this article explaining the PDGM impact on a LUPA is available here. One Customer’s Experience A few weeks ago, a customer contacted our Support Center … Keep Reading
The advancement of IT into healthcare, primarily through EHR systems, facilitates clinician documentation of patient care in acute and ambulatory areas, and to a lesser extent, in the community and home setting. In addition to increasing adoption of healthcare IT, … Keep Reading
There is much talk about ICD-10 implementation, which is set to begin on October 1, 2014. However, many home health agencies are behind on their implementation plans and training according to the timelines set up by Medicare[1]. Not only are … Keep Reading
This blog article was featured originally on the Alliance for Home Health Quality and Innovation(AHHQI) website. Dr. Jack Lewin is the Chairman of the National Coalition on Health Care. Dr. Lewin is a primary care physician trained in internal medicine … Keep Reading
During my years working in home health, and all the agencies with which I have been associated have had a Quality Assurance Program (QA). Most state licensing programs and accrediting organizations require home health agencies to have a quality assurance … Keep Reading
Often while admitting patients, and on subsequent visits during medication management, I have run into a familiar scenario. The time comes to assess the medication regimen, and like Sherlock Holmes, I begin asking questions. Once it is established that I … Keep Reading
Palmetto GBA, the largest home health and hospice Medicare Administrative Contractor (MAC) has taken steps to suppress payments to home health agencies identified as having a “high number” of auto-cancelled Requests for Anticipated Payment (RAP). The National Association for Home … Keep Reading
ICD-10 will be here in a few short months. The deadline for implementation is October 1, 2014. Have you begun your ICD-10 implementation plan yet? Do you know where to start? It is a very daunting task and overwhelming just … Keep Reading
The Center for Medicare/Medicaid Services (CMS) has identified technical issues with certain parts of the April 2013 quarterly update to their computer system and has instructed all Medicare Administrative Contractors (e.g. Palmetto GBA, CIGNA, NGS, Anthem) to hold all EOE … Keep Reading
On May 1, 2013, Phase two of Medicare’s ordering physician PECOS enrollment status audit will go into full effect. This enrollment audit, and PECOS– Provider Enrollment Chain and Ownership System, is part of the Affordable Care Act, section 6405. Beginning … Keep Reading
Home Health agencies are learning to do more with less with all the cutbacks in reimbursement. The upcoming sequestration, which cuts Medicare reimbursements to health care providers by 2%, makes it even more imperative for home health agencies to find … Keep Reading
To help healthcare providers prepare for ICD-10, CMS has released new checklists and timelines for small and medium provider practices, large provider practices, small hospitals and payers. These resources are designed to give a high-level understanding of what the ICD-10 … Keep Reading
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