Happy New Year! Is your Agency Prepared for the Changes This Year?

Each year, in a desire to change, many of us create annual New Year’s resolutions. However, 2015 has brought change for the Home Health Industry, resolution or not! The first major change in the industry is the process for submission of OASIS documents, and second is the OASIS-C metamorphosis into OASIS-C1/ICD-9. CMS has been working... Continue Reading →

CMS has Issued an Urgent Announcement Regarding the HHPPS Grouper

From: NAHC, Regulatory Affairs CMS has issued an urgent announcement regarding the HHPPS grouper and has asked NAHC to alert it members Last week, CMS was notified by the maintainers of jhaven and ASAP that certain HIPPS the scores being generated within ASAP were incorrect. Their contractor, 3M analyzed the issue and discovered that certain... Continue Reading →

Correct Responses for 12/22/14 (HAPPY HOLIDAYS FROM QIRT)

Correct Responses for 12/22 ICD-10-CM 58-year-old female patient is admitted to home care following modified radical mastectomy for adenocarcinoma of the lower-outer quadrant of the right breast. Nursing services were ordered and provided for wound healing and dressing changes. Patient will be receiving chemotherapy in the following weeks. Answer with Rationale: Z48.3, Aftercare, following surgery... Continue Reading →

Responses for 12/8 and new scenarios for 12/15/14

Scenarios for 12/8/14 ICD-10-CM This 88-year-old gentleman is receiving home care for his coronary artery disease and the cardiac pacemaker placed during his hospitalization last week. He continues to gain strength but requires wound checks, dressing changes, and medication management ongoing. Assign the correct diagnosis codes. Z48.812, Encounter for surgical aftercare following surgery on the... Continue Reading →

To continue with ICD-10-CM, or put it off? That is the question .

Fred Upton (R-MI), House Energy and Commerce Committee Chairman, and Pete Sessions (R-TX), House Rules Committee Chairman, issued a joint statement on Dec. 10, 2014, expressing their commitment to ensure ICD-10 implementation is achieved on October1, 2015, and are prepared to have a hearing on the issue in 2015. Continue to move forward with preparations... Continue Reading →

FINAL RULE CY2015 has been Released

On October 30, 2014, at 4:30 pm, CMS released its unpublished FINAL RULE for CY2015 Home Health PPS Update, Home health quality reporting requirements and survey and enforcement requirements for home health agencies. This rule updates the PPS rates for the national, standardized 60-day episode payment rates, national per-visit rates, and the non-routine medical supply... Continue Reading →

Coding Answers and New Scenarios for 10/6/14

Scenario Answers for 9/29/14 ICD-9 Patient with paranoid schizophrenia is admitted to home health. The skilled nurse will be providing Haldol injections BID as a new treatment for the schizophrenia, until the caregiver is proficient in administering the drug. Patient also has CHF, HTN, and Type II DM. 295.30, Schizophrenia, paranoid type, unspecified (Focus is... Continue Reading →

OASIS C-1 Manual Released

OASIS C1/ICD-9 is scheduled to begin in just a few months and CMS has released the official instruction manual.  The manual is free to download from http://myhomehealthcarebusiness.us7.list-manage1.com/track/click?u=a09fec61bdab7a743c312019b&id=7e2ef3e33a&e=ad4a6f821e at this time.  Please take some time to download the manual and familiarize yourself with the upcoming changes.

Answers for 9/4/14 Scenarios and NEW Scenarios 9/10/14

So many of you participated this week and did REALLY well.  Congratulations on your coding skills.  Let's keep it up!! Answers for CODING SCENARIOS 9/4/14: ICD 9 SCENARIO Patient is post lung transplant and is being admitted to home care for management of cancer of his transplanted lung and pain management. (MAKE SURE YOU READ... Continue Reading →

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