Learn more about the No-Pay RAP effective January 1, 2021, what this change means for your HHA, and actions you can take now to prepare.
CMS released its final home health payment rule for 2021 on October 29, 2020. We’ve outlined important aspects of the final rule that home health providers need to know to stay informed and keep operations running smoothly.
October 1, 2020 is just around the corner, meaning it’s time for the Centers for Medicare and Medicaid Services (CMS) to release the home health ICD-10-CM update files for FY 2021.
Over the course of the past year, the efforts of home health agencies have been primarily focused on adapting behaviors under the new PDGM stipulations. The stress of adhering to these new regulations was compounded by the advent of COVID-19, levying an onerous burden on home health and hospice agencies.
Clinical documentation plays many roles within healthcare. It validates the patient care provided, supports coding decisions, and facilitates claims processing, billing, and reimbursement. But at its core, clinical documentation works as a narrative in telling the patient’s story – where the patient has been, what they are going through and what the future holds for them.
Inadequate medical necessity and face-to-face (F2F) documentation are the source of many denials, and auditors will look specifically for accurate F2F and medical necessity documentation that supports the skilled services provided to patients.
Determine if outsourcing this critical business function is the right path to take and how to identify the right vendor partner.
When an organization loses a key member of the management team, it creates a void that can impact care delivery and overall operations in many ways.