Compliance

2018 Home Health Proposed Rule Issued

2018-04-03T22:22:01+07:00July 29, 2017|Archive, News|

On Tuesday, July 25, 2017, CMS issued the CY 2018 Home Health Proposed Rule. Effective for home health episodes of care ending on or after January 1, 2018, the rule updates the Home Health Prospective Payment Systems (HH PPS) payment rates including the national, standardized 60-day episode payment rates, the national per-visit rates, and the

Home Health EHR Systems: Driving Data Quality for Success

2017-12-19T02:32:50+07:00July 21, 2017|News|

Widespread EHR use in the health care sector comes with new challenges in terms of data entry and management. As EHR technologies and processes have evolved, many organizations have run into a situation where varied policies and procedures surrounding data entry has led to major quality issues. Poor data quality undermines an agency's ability to

Top Medicare Home Health Claim Denials and How to Prevent Them

2019-02-12T20:22:12+07:00July 7, 2017|News|

Home health claim denials can cause a number of problems for agencies of any size, with cash flow being the biggest concern. Home health agencies should have plans in place to avoid denials, as well as plans on how to handle them when they occur. By having advance knowledge of the potential red flags that

Medicare Home Health Fraud: Enough Mistakes Can Add Up

2018-04-02T21:31:51+07:00June 28, 2017|News|

Home health regulatory requirements create a variety of documentation and management challenges that home health agencies must be prepared to address. In particular, emerging regulatory changes surrounding Medicare home health fraud are pressuring agencies to keep an especially close watch over every facet of operations. According to a CMS Comprehensive Error Rate Testing (CERT) report

Home Health Fraud Prevention: HEALTHCAREfirst White Paper Released

2018-04-11T23:13:38+07:00June 22, 2017|News|

Home Health Fraud Prevention: HEALTHCAREfirst White Paper Released We are pleased to announce the release of a new white paper that takes a look at the current home health regulatory environment and the efforts to crack down on home health fraud by the federal government. The Home Health Fraud Prevention white paper, “Home Health Regulatory Pressures

Home Health Documentation: Expert Tips for Success

2017-12-19T02:38:35+07:00June 13, 2017|News|

Comprehensive home health documentation is necessary to ensure both quality patient care and proper reimbursement. Stronger focus on investigating what CMS deems as fraudulent activity combined with efforts to ensure more accurate reimbursement means that home health agencies must take steps to ensure documentation integrity. Tina Marrelli, MSN, MA, RN, FAAN, President of Marrelli and

5 Ways to Reduce Your Home Health & Hospice Security Risk

2017-12-19T02:54:27+07:00May 23, 2017|News|

Recently there has been a lot of talk about cyberattacks on healthcare organizations around the world. While attacks like this are uncommon, it reminds us that maintaining security of devices, systems, and networks is of utmost importance to reduce your home health & hospice security risk. Here are five tips to follow to reduce your

How to Perform a PECOS Lookup to Verify Physician Credentials

2018-01-13T01:40:43+07:00March 17, 2017|News|

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

What is Home Health Compare?

2019-04-02T20:28:54+07:00March 16, 2017|News|

  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

HEALTHCAREfirst Announces Interface with PDC to Expedite Pharmacy Management for Hospice

2018-03-23T02:32:02+07:00March 7, 2017|Archive, Press Release|

  Springfield, Mo. – March 7, 2017 – HEALTHCAREfirst, the leading provider of Web-based home health and hospice software, billing and coding services, and advanced analytics, announced its partnership with PDC. PDC is an independently owned pharmacy benefit manager built purposefully for hospice, to improve the management of patient prescriptions. This interface provides automatic transfer of demographic data