Read more from McBee Healthcare Associates about Clinical Documentation

Initial Visit vs. SOC Comprehensive Assessment – Understanding the Difference

2022-04-07T10:24:30-05:00Categories: Blog, Home Health|Tags: , |

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.

Reduce Claim Denials Under RCD with a Strong Face-to-Face Compliance Program

2022-04-07T09:50:33-05:00Categories: Blog, Home Health|Tags: , , , |

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.

3 Ways to Enhance Home Health Medical Necessity Compliance for Therapy

2022-01-21T11:28:07-05:00Categories: Blog, Home Health|Tags: , , |

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.

Resumption of Care: Common Situations

2022-04-11T16:16:58-05:00Categories: Blog, Home Health|Tags: , , |

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.

PDGM Visit Utilization Best Practices using Episode Management Strategies

2022-06-15T08:23:42-05:00Categories: Blog, Home Health|Tags: , , , , |

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.

3 Tips to Enhance the Hospice Physician Narrative Summary

2021-01-14T11:07:03-05:00Categories: Blog, Hospice|Tags: , , |

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.

From the Experts: Avoid CIAs and Maintain Compliance with Internal Mock Survey Audits

2021-05-04T09:37:30-05:00Categories: Blog, Home Health, Hospice|Tags: , , , |

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.

How Home Health Agencies Can Support Staff with OASIS-D Education

2021-12-30T08:47:30-05:00Categories: Blog, Home Health|Tags: , , |

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.

Sequelae 101: What Coders Don’t Want to Miss

2019-12-04T15:02:49-05:00Categories: Blog, Home Health|Tags: , , |

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. 

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