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CMS News: Help for Your ICD-10 Transition Planning
Author: Tim Rowan - Home Care Technology Report
Date: March 4, 2013
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 transition requires and how each provider's ICD-10 preparations compare with... Keep Reading
Palmetto GBA Releases HIPPS Codes for Specific ADR Probe Review
Author: Jennifer Gibson Osburn RN, HCS-D ICD-10-CM, COS-C, Senior Clinical Consultant
Date: February 27, 2013
Palmetto GBA recently released the two HIPPS codes being targeted in a specific ADR (Additional Documentation Request) probe review. The targeted HIPPS codes were selected from a list of top 20 home health HIPPS codes, the the codes with the highest number of denials from this list   These HIPPS codes... Keep Reading
CMS Requests New Changes to Home Health PPS Payment Codes
Author: Debbie Cunningham RN, HCS-D, HCS-O
Date: February 12, 2013
The Center for Medicare & Medicaid Services (CMS) has issued a change request CR8136 which adds new codes to the Home Health PPS claims. The two code changes are: 1. HCPCS code to indicate the location where patient services are provided. 2. A code to indicate when a physician, other than the... Keep Reading
Palmetto GBA to Perform Service Specific Probe Reviews for Select HIPPS Codes
Author: Jennifer Gibson Osburn RN, HCS-D ICD-10-CM, COS-C, Senior Clinical Consultant
Date: January 28, 2013
According to a recent article published on www.palmettogba.com, Palmetto GBA will perform service-specific prepay complex review on claims billed for selected Home Health HIPPS codes.  Palmetto GBA will be setting service-specific complex targeted medical review edits for the two HIPPS codes with the highest claim count denial rate. Palmetto GBA is... Keep Reading
Ancient Wound Care Made Modern: Honey‘s Effects on Wound Healing
Author: Tamara C Brown, RN
Date: January 22, 2013
The use of honey in wound care dates back millennia. There are records of the Sumerians using honey in wound care as far back as 4,000 years ago with the Egyptians improving upon this method by impregnating different materials with honey for application to wounds. [1] With the advent of... Keep Reading
How the CMS Final Rule Will Affect Home Health Agencies in 2013
Author: Jennifer Gibson Osburn RN, HCS-D ICD-10-CM, COS-C, Senior Clinical Consultant
Date: January 9, 2013
The Final Rule that was published November 8, 2012, will implement several changes beginning on January 1, 2013. Among these changes are: Limitation of resolved conditions that can be coded in M1024 Clarification of Face to Face Encounter Guidelines Therapy Permanent cap of outliers Updates to HHPPS Sanctions to impose if home health agencies are out... Keep Reading
Tips for OASIS Accuracy
Author: Karen Price, RN, COS-C
Date: January 8, 2013
There is an updated version of this article available here. Accurate completion of the OASIS assessment is important for home health clinicians.  Unfortunately, some clinicians have had no training, minimal training or have been given incorrect information. The Director of Nursing at a large home health agency recently shared with us... Keep Reading
Home Health Agencies and Hospitals Should Coordinate Efforts
Author: Andrew Olowu, Axxess Chief Technology Officer
Date: January 4, 2013
The CMS Readmission Reduction Program, an important part of the Affordable Care Act that went into effect on Oct. 1, 2012, will have a profound impact on how hospitals manage care transitions and work with community healthcare providers to prevent avoidable readmissions. With growing pressure to do more with less,... Keep Reading
Medicare Billing Housekeeping during the Holidays
Author: Debbie Cunningham RN, HCS-D, HCS-O
Date: December 11, 2012
The holiday season is coming with food, fun and family time ahead. However, billing must continue and claims must be sent as part of supporting the overall health of home health organizations.  The general decrease in workload due to lighter patient loads and absences from the office provides a little... Keep Reading
Measuring Performance: Is Everyone in the Home Care Agency Getting What They Need?
Author: Ginny Kenyon , Kenyon HomeCare Consulting
Date: December 6, 2012
Without a doubt, performance evaluations and/or appraisals are one of the least liked and hardest requirements of a home care leaders job. This is particularly true for those in mid management. But, they aren’t the only ones! For members of your staff, performance appraisals are often the least liked requirement... Keep Reading
Recommended Vaccinations for Home Care Providers
Author: Karen Price, RN, COS-C
Date: December 4, 2012
Home care providers (HCP) are exposed to many different situations as they perform home visits.  Living conditions vary from home to home, ranging from clean to filthy, and we care for patients in the home setting with every imaginable disease, some of which are contagious.  In order for home health... Keep Reading
Home Health Coding-A Primer for Field Staff
Author: Jennifer Gibson Osburn RN, HCS-D ICD-10-CM, COS-C, Senior Clinical Consultant
Date: November 26, 2012
As a young home health nurse, I was blessed with a mentor and friend who was a QA specialist and expert coder.  Ms. Kay and I worked for the largest home health agency in middle Tennessee at the time, and with Kay’s mentorship, I learned how to take my patient’s... Keep Reading
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