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Homebound status, Hospice billing focus, OASIS C1, and ICD-10 are but a few topics of discussion in the industry. What is going on in the industry?

Friday, November 22nd, 2013

It is busy and going to be more demanding next year. 2014 will be a record year for change and updates. Let’s look at some of the hot topics of today. New Homebound status Last week we discussed the new criteria for homebound status and identified areas that can pose potential audit risk. Criteria 1: […]


Homebound Rules Change, HIPAA HITECH HIM checklist, ICD-10 and Q&As

Tuesday, November 12th, 2013

This week, let’s touch on a few hot topics in the industry. Homebound Status Rule Update The Homebound status specific detailed documentation is changing on November 19, 2013. CMS Change Request 8444 states there are two main criteria for homebound status. Criteria 1: If, due to illness or injury the patient requires supportive devices such […]


HIPAA Rules and the HITECH Act

Wednesday, November 6th, 2013

The Health Information Portability and Accountability Act (HIPAA) was signed into law in 1996. Two additions were made. Protection for the privacy of Protected Health Information (PHI) became effective April 14, 2003 including standardization of electronic data interchange in health care transaction, effective October, 2003. The second part of HIPAA was security. Protection for the […]


Pressure Ulcers and Frequency of Braden Scale Use in Home Health

Tuesday, October 22nd, 2013

Pressure Ulcers are on the rise. CMS states they remain one of the top reasons for hospital admissions. Home Health agencies want to deliver good care. The costs for care are rising. And home health agencies are being scrutinized when trying to sit at the ACO table. How viable is your agency pressure ulcer care […]


Preparing for ICD-10: More than Review Sessions for the Coders

Monday, October 21st, 2013

CMS has already identified the expectation of at least a 10% claim rejection due to incorrect codes or codes lacking in specificity.  Besides increased claim rejections, payors are predicting increased delays in processing care authorizations, slowing cash flow, and coding backlogs. To guard against being one or several of those statistics, home health and hospice […]


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