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Up-date to ICD-10!

Changes to ICD-10 for 2018-2019 from the CDC!

Does staff cohesiveness impact your organization success?

Leadership tools must include alternative effective forms of communication in order to achieve cohesiveness in an organization, read more...

CMS Moratorium Extended!

CMS Moratorium extended! in the following geographical areas...

Using Critical Thinking to create the patient plan of care.

The worst disservice a clinician can do their patient and employer is not to use critical thinking when developing, implementing, revising the patient's Plan of Care, see "Using "Critical Thinking" during clinical practice..."

Tips

Pain Management in Home Health

Pain Management ....

Acute-Care and Post-Acute Care Outcomes

What are the common Outcomes between Acute-Care and Post-Acute Care Organizations?

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

Are your PAEs Report showing an increase in patients being discharged while having an UTI?

Effective Communication Processes

Leadership tools must include alternative effective processes of communication in order to achieve cohesiveness in an organization and prevent negative events from occurring.

Understanding Medicare Requirements for Home Health Care Agencies

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

May 18, 2019

Are your PAEs Report showing an increase in patients being discharged while having an UTI?

Errors when writing skilled visits frequency and duration

June 30, 2019

Did you know that the Medicare week varies from one home care agency to another?

Using Critical Thinking When Developing a Patient's Plan of Care Picture

Using Critical Thinking When Developing a Patient's Plan of Care

April 25, 2015

Critical Thinking is a must...

Effective Communication Processes

April 25, 2015

Leadership tools must include alternative effective processes of communication in order to achieve cohesiveness in an organization and prevent negative events from occurring.

Fostering a Culture of Quality Picture

Fostering a Culture of Quality

April 25, 2015

A Quality Manager function is to build and foster a culture of quality within an organization.

CMS Recovery Audits Contractors (RACs)

April 25, 2015

How many home health agencies failed to respond to Palmetto GBA auto request for copies of the medical record for review in Florida for an specific code probe?

Medicare Secondary Payer (MSP)

April 25, 2015

Is Medicare responsible to pay the home health bill when a patient suffers an injury and anotherr payer is covering the expences? The answer is complex and it has a high potential for delaying the release of the final bill to Medicare, see MSP.

CMS Face to Face Requirements After January 2016

June 30, 2019

Denials based on incompletion of the Face to Face Requirements continue to cause major strain to the home health industry...

CMS Auditors

April 25, 2015

There are multiple points in the CMS reimbursement loop for home care agencies to receive denials from RACs Audits. One of those is failing respond to Palmetto GBA auto request for copies of medical records for review because the organization does n

Denials for Skilled Services Not Being Reasonable and Necessary

June 08, 2015

Tips on skill home care services not considered reasonable and necessary. According to CMS Palmetto, Medicare Home Health denials for the 1st quarter of 2015 reached over 12% due to...

Documentation

June 23, 2015

A Skilled Nursing Visit ...Clinical Vignet: 85 yrs old male admitted on 06/19/2015 at BBB Hospital for 4 days. Discharge home on 06/22/2015 with a stage II pressure ulcer on left heel and co-morbidity of Diabetes, Hypertension and Left CVA, patient is o

CMS Pay for Performance Requirements

July 06, 2015

What does your organization second QAO Historical Report show? above 70% or higher, if is lower than 70% you have lots of work to do starting with making sure you have the right consultants to help you...

Home Health Value-Based Purchasing Program (HHVBPP) Pilot  Program Picture

Home Health Value-Based Purchasing Program (HHVBPP) Pilot Program

July 06, 2015

Preliminary and final reports are available at the Value Based Portal site!

CMS Star Report Picture

CMS Star Report

July 12, 2015

Do you know where to go to get your Medicare Star Report?

Can a home health agency provide care to a patient in a Day Care?

July 15, 2015

A patient that qualifies for the home health benefit under Medicare...

How is your organization dealing  with the ICD-10 implementation? Picture

How is your organization dealing with the ICD-10 implementation?

July 15, 2015

Here are some tips that can help your organization

Your home health outcomes vs. hospitals outcomes in your community Picture

Your home health outcomes vs. hospitals outcomes in your community

July 16, 2015

What data sources is your Quality Manager overseen that may put your home health organization ahead of others?

PEPPER Report

July 22, 2015

Problems getting your Pepper Report...

Have your organization updated the Notice of Medicare Non-coverage (NOMNC) forms with the new QIO information?

August 05, 2015

Up-date your organization Notice of Medicare Non-Coverage (NOMNC) forms! Effective August 1, 2015 QIOs toll free number that appears in the Notice of Medicare Non-Coverage (NOMNC) has changed for Florida Beneficary in area 2: KEPRO - (844)455-8708

Maintenance Therapy for Medicare Patients

August 13, 2015

Did you know that Medicare patients with certain diagnosis can receive Maintenance Therapy when...

Pain Management in Home Health

August 14, 2015

Pain Management ....

Acute-Care and Post-Acute Care Outcomes

August 14, 2015

What are the common Outcomes between Acute-Care and Post-Acute Care Organizations?

The Language of ICD-10

September 01, 2015

You are going to need to re-wire your brain!

Documentation Tip - Corrections to the clinical record

September 08, 2015

Always make sure you know your organization's policy and procedure for correcting documentation in the patient medical record.