Overutilization? What Home Care Providers Need to Know About McAllen, Texas

Posted on 18. Jun, 2009 by in Hot Topics.

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What’s so special about McAllen, Texas? Smart home care providers should make it their business to know.

A recent New Yorker article about health care utilization patterns in the Texas border town has become required reading for health reform wonks…

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Quality Outcomes Alert: Ask New Patients This Question

Posted on 17. Jun, 2009 by in Hot Topics.

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Got oxygen?

That’s the question you should be asking new patients. Ever since Medicare tightened reimbursement rules for home oxygen therapy this past January, patients have had a heck of a time when they switch suppliers, The Wall Street Journalreports.…

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Therapy Cap Update for HHAs

Posted on 17. Jun, 2009 by in Money Matters.

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GOOD NEWS! You don’t have to worry about therapy caps for patients who received outpatient Part B services in the first quarter of the year.

Due to delays in updating the claims system, “claims for outpatient therapy services provided during

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Hospice Volunteer Quick Facts

Posted on 17. Jun, 2009 by in Did You Know?.

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45.1 hours: That’s the average time a hospice volunteer racks up per year. The average yearly number of visits per year is 18, according to statistics from a National Hospice and Pallative Care

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New Research: Physicians Don’t Discuss Hospice with Terminally Ill Patients

Posted on 15. Jun, 2009 by in Did You Know?.

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A new study published in the Archives on Internal Medicine confirms what many hospice professionals already know: doctors often fail to hold the crucial hospice conversation as patients near the end of life.

“Researchers interviewed 1,517 patients or their families four…

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OASIS C Pressure Ulcer Checklist

Posted on 09. Jun, 2009 by in Tool Kit.

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Most pressure ulcer prevention and treatment tools have been developed for nursing homes, but home health agencies are about to become more accountable, with OASIS C process measures taking effect in January 2010.

Use these best practices from the quality…

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Home Health ICD-9 2010 Quick Start Guide

Posted on 29. May, 2009 by in Breaking News.

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Effective Oct. 1 2009, it’s out with the old, in with the new.

CMS has issued 141 new diagnosis codes for you to use starting Oct. 1. Here’s the heads up on ICD-9 code changes home care coders & billers should be…

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Avoid These Hospice Eligibility Pitfalls

Posted on 28. May, 2009 by in Hot Topics.

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If your hospice hasn’t taken a good look at how it determines–and documents–patients’ eligibility for the Medicare hospice benefit, you’re fair game for everything from payment recoupments to fraud and abuse investigations.

There’s no shortage of reasons for hospices to…

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One Denied Therapy Visit Can Cost Your HHA $600

Posted on 28. May, 2009 by in Money Matters.

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Good care that is poorly documented can lead the feds to suspect fraud.

CMS is concerned that the prospective payment system includes financial incentives to provide more therapy than a patient needs, according to physical therapist Cindy Krafft, Peoria, Ill.-based consultant with Fazzi Associates.

To

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RACs March to Home Health: 4 Ways to Prepare

Posted on 28. May, 2009 by in Tool Kit.

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RACs aren't child's play

RACs aren’t child’s play

There’s no question about it. The Medicare program’s Recovery Audit Contractors are armed and ready to sweep the greater medical community, including home care providers.

In their three-year…

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