Archive for 'Breaking News'
Posted on 17. Jun, 2014 by dprakash345.
Once the RACs start looking at your claim, they’ll check out everything including F2F documentation, technical items, and more.
Early in 2014, three of the four Medicare Recovery Audit Contractors (RACs) – CGI, Connolly and Healthdata Insights – announced two issues for home health agencies:
a) Home health medical necessity and conditions to qualify for services
b) Skilled Nurse Length of Stay.
Broad audit review could be challenging for HHAs
The issue of medical necessity taken up by the three MACs is very broad and could be a problem, according to experts. As many wonder how the RACs will go about determining how to select claims for ‘medical necessity’ review, you need to watch your steps because once the RACs start looking at your claim, they will review everything including face-to-face documentation, technical items, among others.
While checking medical necessity, the medical record will be reviewed to check that the home health services were both reasonable and medically necessary and that the patient met the conditions to qualify for home health services. (more…)
Posted on 09. Jun, 2010 by Editor.
There is not enough quality palliative care available for dying cancer patients in Canada, according to a special report by the Canadian Cancer Society (CCS) on end-of-life care. This, despite cancer being the leading cause of death in the country (29 percent).
“Uniform, high-quality support for any person dying of cancer should be available no matter where they live,” says Heather Chappell, Director, Cancer Control Policy, CCS. Depending on where the person lives in Canada, the type and quality of care to ensure that (more…)
Posted on 26. May, 2010 by Editor.
More whites ages 25 to 39 develop cancer of the lower stomach, said researchers from the National Cancer Institute (NCI) of the National Institutes of Health. They noted, however, that cases have lowered overall in American adults.
Posted on 19. May, 2010 by Editor.
Medicare offers hospice care to any terminally ill individual with only six months or less to live. But many people refuse to join the program, because of one simple requirement: give up curative treatment. (more…)
Posted on 19. May, 2010 by jan.mater.
If you were breathing a sigh of relief that your home health agency wouldn’t have to worry about face-to-face encounters after CMS’s announcement in the last Open Door Forum that they didn’t apply to agencies, suck that breath back in. (more…)
Posted on 12. May, 2010 by jan.mater.
Despite the hard-hitting $10 million decrease in Medicare reimbursements this year, hospice and palliative care facilities clung to the recently passed health bill for some hope. The bill reduced the cut to $6.8 million, but health care experts cite some bad news.
Posted on 05. May, 2010 by jan.mater.
Home health agencies served by Palmetto GBA were first out of the chute for a new licensure and accreditation check, but Cahaba GBA agencies aren’t far behind. (more…)
Posted on 28. Apr, 2010 by jan.mater.
It’s that time of year — the Centers for Medicare & Medicaid Services has unveiled the proposed changes to the hospital inpatient prospective payment systems, giving us the first look at the ICD-9 changes for 2011. So, what goodies are in store for home health coders?
Influenza with Pneumonia
Well, you’ll see a beefed up 488.0x (Influenza due to identified avian influenza virus) and 488.1x (Influenza due to identified novel H1N1 influenza virus). The co-operating parties found that these subcategories didn’t provide the level of detail that category 487 (Influenza) does, so they expanded the codes at 488.0 and 488.1. The result is 6 new influenza with pneumonia codes for the 2011 ICD-9 update: (more…)
Posted on 21. Apr, 2010 by jan.mater.
How do we best care for older cancer patients? The National Cancer Institute (NCI) reports in a bulletin that there are very few resources available today to help with these patients’ treatments. This despite the fact that people 65 years and older make up about 60 percent of cancer patients, and account for 70 percent of annual cancer death. (more…)
Posted on 21. Apr, 2010 by jan.mater.
The biggest home care cuts in the recently enacted health care reform package are years away, but other reductions and burdensome requirements will hit next year.
The good news: The 3 percent rural add-on takes effect this month, noted Lori Anderson with the Centers for Medicare & Medicaid Services at the National Association for Home Care & Hospice’s March on Washington annual meeting.