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ICD-10 Will Be Here Before You Know It…….Are You Ready?
Author: Karen Price, RN, COS-C
Date: April 22, 2013
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 to think about for most providers.  There are some simple... Keep Reading
CMS System Glitch Affects Processing of Home Health Final Claims
Author: Debbie Cunningham RN, HCS-D, HCS-O
Date: April 4, 2013
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 (End of Episode) claims with ending dates ‘Through dates’ of... Keep Reading
PECOS Audit to begin May 1, 2013- What You Need to Know to Prevent Denial of Claims
Author: Karen Price, Layo Ogunbanwo, and Jennifer Gibson
Date: April 1, 2013
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 May 1, 2013, Home Health claims that are audited and DO... Keep Reading
Cost Reductions Tips for Home Health Agencies from a Home Health Nurse
Author: Jennifer Gibson Osburn RN, HCS-D ICD-10-CM, COS-C, Senior Clinical Consultant
Date: March 26, 2013
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 ways to “tighten our belts” without sacrificing the quality of... Keep Reading
Axxess Sponsors Healthcare Forum
Author: Sam Smith
Date: March 25, 2013
(Dallas, TX), Friday, March 22, 2013, Belo Mansion Axxess Technology Solutions sponsored the recent luncheon of the Dallas Friday Group entitled: "Health Care Changes and the Impact on Key Stakeholders", a panel discussion held on March 22, at the Belo Mansion in Downtown Dallas. Axxess is a leading technology provider... Keep Reading
HIT Thought Leader Highlight: Andrew Olowu, Axxess Technology
Author: Scott Rupp
Date: March 14, 2013
Andrew Olowu, chief technology officer of Axxess Technology, discusses home health and how technology is impacting this market segment of the care spectrum, from delivery of care to how caregivers benefit from its use. Where does home healthcare fit into the big picture? Home healthcare plays an increasingly vital role in the... Keep Reading
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
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