7 Tips to Reduce Home Health Billing Errors

It’s important to know what is going on at your home health agency at all times, especially when it comes to the business and financial issues. Home health billing errors can cost your agency a significant amount in penalties and fees. Luckily, we’ve outlined several ways for you to stay on top of those errors […]

Continue reading
April 10, 2017

Breaking Down the New Home Health Conditions of Participation: QAPI

Update: On Friday, March 31, 2017, CMS issued a proposed rule to change the new Home Health Conditions of Participation effective date from July 13, 2017 to January 13, 2018. While this change in effective date is currently just a proposed rule, it is expected that the final rule will be consistent with the proposal. […]

Continue reading
April 7, 2017

Home Health Pre-Claim Review Demonstration Suspended Until Further Notice

On Friday, March 31st, CMS announced that as of April 1, 2017, the Home Health Pre-Claim Review Demonstration (PCR) would be suspended for at least 30 days in Illinois. Additionally, the Demonstration would not expand to Florida on April 1, 2017 as orginally planned. It indicated that the suspension of the Demonstration was enacted to consider a number of changes for […]

Continue reading
April 5, 2017

Five Tips for a Successful Home Health or Hospice EHR Implementation

  Does the thought of implementing a new EHR sound daunting? If you said yes, you’re not alone. Sometimes, home health and hospice agencies identify imperfections in their systems and processes that lead them to explore the idea of making an EHR software change. Sometimes agencies are stuck in a sub-optimized infrastructure, not because of […]

Continue reading
March 23, 2017

How to Perform a PECOS Lookup to Verify Physician Credentials

What is PECOS? Created by CMS, PECOS stands for Provider, Enrollment, Chain and Ownership System and is a database for physicians who have registered with CMS. The Affordable Care Act requires physicians and other eligible non-physician practitioners (NPPs) to enroll in the Medicare Program to order/refer items or services for Medicare beneficiaries. Medicare will deny claims […]

Continue reading
March 17, 2017

What is Home Health Compare?

  Home Health Compare is a joint effort between the Centers for Medicare & Medicaid Services (CMS) and the U.S. Department of Health and Human Services (DHHS). It provides data on the quality of services provided by Medicare-certified home health agencies mostly through Outcome and Assessment Information Set (OASIS) data submitted to CMS. OASIS is […]

Continue reading
March 16, 2017

Pre-Claim Review Delay in Florida? Maybe… But You Still Want to be Ready

  Update: On March 31, 2017, CMS stated that the Pre-Claim Review Demonstration will not expand to Florida on April 1, 2017 as planned. CMS will notify providers at least 30 days in advance via an update on their website of further developments related to the demonstration. HEALTHCAREfirst will continue to monitor the status and provide […]

Continue reading
March 15, 2017

Home Health Coding Services: Outsourcing to Avoid Errors

Home health coding is important in identifying and translating health care providers’ documentation, applying the correct industry code, and formulating and submitting a clean, accurate claim. Home health agencies considering whether to keep those services in-house or to partner with a home health coding company them should consider the advantages of saved time and fewer coding […]

Continue reading
March 13, 2017