Due to the COVID-19 Public Health Emergency (PHE), CMS has waived the Home Health Condition of Participation under 42 CFR § 484.55(a) regarding the initial assessment. Learn the difference between the initial visit vs. a SOC Comprehensive Assessment.
Review Choice Demonstration is in full cycle in Illinois, Ohio, North Carolina, Florida, and Texas. In June 2021, Palmetto GBA posted the top reasons for non-Affirmation and claim denials, many being related to Face-to-Face encounters.
Developing, reassessing, and documenting toward therapy goals and current function are essential building blocks toward a necessary and comprehensive therapy care plan. Learn how to enhance your compliance.
A Resumption of Care (ROC) assessment is required any time the patient is admitted as an inpatient for 24 hours or more for other than diagnostic tests and returns to home care. Let's look at 3 separate scenarios.
It’s apparent that home health providers are struggling with efficient visit utilization under PDGM. By leveraging best practice episode management strategies, however, providers can drive efficient visit utilization, deliver high quality care and ensure financial viability.
One component of the hospice certification of terminal illness requirements is the narrative summary, a brief narrative designed to explain clinical findings that support a life expectancy of six months or less.
When health care providers repeatedly fail to reach compliance with the Office of the Inspector General’s (OIG) guidelines, the OIG will issue them a Corporate Integrity Agreement (CIA). Under the CIA process, organizations enter into a mandatory agreement to improve their practices over a five-year time frame with outlined compliance guidelines set forth by the OIG.
Although the January 1, 2019 implementation date has come and gone, agencies should not lessen their focus on accurate OASIS-D data set collection. Just like any new process, agencies need to provide support through this OASIS-D learning curve. In addition to developing new assessment practices, clinicians are learning guidance that often conflict between items that assess the same functional activity.
A common question asked among coders is, “is this a complication or is this a sequela”? Following specific coding guidelines will ensure that costly errors are avoided for these two very different coding situations.