Top 5 Questions asked regarding PECOS
At Select Data, PECOS is a “hot” topic. Here are the 5 Top Questions asked of Select Data re PECOS…. Over the past three weeks, the home health industry has been focused on PECOS (Provider Enrollment,...
View ArticleRACs, MACs, Z-Pics: The Home Health Industry and Insufficient Documentation...
Part 1 of 3 series on RACs, MACs, and Z-PICS: CMS has now stated in the proposed PPS rule, “that after review of 2008 data that evidence continues to suggest that some Home Health Agencies may be...
View ArticlePart 2; RACs, MACs, Z-PICs
Part 2 of 3 on RACs, MACs, Z-PICs: The Home Health Industry and Insufficient Documentation for Medical Necessity and ICD-9 Coding. Home Health Eligibility Criteria Includes: Homebound Status Must be...
View ArticlePart 3; RACs, MACs, Z-PICs
Part 3 of 3 on RACs, MACs, Z-PICs: The Home Health Industry and Insufficient Documentation for Medical Necessity and ICD-9 Coding. Therapy and Home Health ICD-9 Coding and Supportive Services… The...
View ArticleHelpful Home Care Websites at Your Fingertips
Never before has a home health agency leader required such close contact with so many industry regulatory bodies and changes. Operationally, clinically, and financially the need to keep current is...
View ArticleCY 2011 Updates FAQ
Over the past few weeks, many of our clients have called with questions regarding the CY2011 Final Rule. We have collected several of the most frequently asked questions for you to review. Answer...
View ArticleG-Code Transmittal – The New and Revised G-Codes
The New and Revised G-Codes and More Specific Information Sought by CMS Effective 1/1/11 http://www.coms.gov/transmittals/downloads/R824OTN.pdf CMS is seeking more specific information regarding who is...
View ArticleWhat is Management and Evaluation?
Since the new G-Codes have been implemented, G-162 has raised questions once again. Management and evaluation is the Medicare covered qualifying skilled nursing service, introduced in 1989. Even...
View ArticleCoding Whitepaper
“Industry Changes are Driving Increased Coding and Financial Complexity.” Every home health agency wants their deserved reimbursement for the care delivered to their patient and just as importantly,...
View ArticleRACs are Gearing Up to Audit Medicare Advantage, Part D, and MEDICAID
And yet another RAC audit… Section 1902(a)(42)(B)(i) of the Social Security Act requires states to contract with Recovery Audit Contractors (RACs) to identify underpayments and to recoup overpayments...
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