Billing Processes

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CMS Quality Measurements Projects and the Goals

CMS is presently developing outcome core measures that are patient oriented and cross providers setting during the continuum of care.

Discipline Frequency and Duration Orders

Did you know that the Medicare week to write orders for treatments and/or frequency and duration varies from home health agency to home health agency? For more information see "Are you knew to the home…?”

Submitting Request for Records to Medicare Picture

Submitting Request for Records to Medicare

More than 47% of denials by PalmettoGBA for the period of 10/2017-12/2018 were related to...... Read More...

CMS Proposed Rule of the Home Health QAPI Program

CMS propose regulations needs more work! Make home care organizations assign the QAPI Program responsibilities to a staff member who is free of conflict between the non-clinical and clinical departments in the home care organization.

Tips

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology. Picture

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology.

Have you downloaded the CMS PDGM Excel file from the CMS Home Health Agency Center?

Falls

Patients falls are a marker of frailty, immobility...

OASIS Tip - M1600 Patients discharged with an UTI on discharge and PAEs Report

Are your Potentially Avoidable Events (PAEs) Report showing an increase in patients being discharged while having an UTI?

Creating Standardized Billing Audit Tools

Billing Processes – Having standardized billing audit tools and ensuring that the staff use them correctly when performing billing audits.

HHCNToday has billers with not only extensive expertise in Medicare Home Health billing but with experience on working with you clinical staff to extricate the require documentation to release billing.

 

For information on Reimbursment