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.
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.
In Fiscal Year 2020 (FY 2020), hospices will be mandated to provide an election statement addendum upon request from the Centers for Medicare & Medicaid Services (CMS). With new election benefit requirements enacted as a condition of payment as soon as October 1, 2020, it is time for your organization to prepare for these changes.
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.