LUPA Add-on Amounts for Home Health Occupational Therapy Visits and Corrections to Payment Grouping Processes

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS “re-communicated” Transmittal 10919 … Change Request 12315 on November 8, 2021. It was issued initially back on August 6, 2021. This change request makes changes to Original Medicare systems to allow for LUPA add-on payments to apply if an occupational therapy visit is the first…… Continue reading LUPA Add-on Amounts for Home Health Occupational Therapy Visits and Corrections to Payment Grouping Processes

Updated Agenda: Home Health, Hospice & DME Open Door Forum on November 10, 2021

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, November 10, 2021 PM at 2:00-3:00 PM Eastern Time (ET). Please call at least 15 minutes prior to the forum start time. **This Agenda is Subject to Change** Opening Remarks Chair –…… Continue reading Updated Agenda: Home Health, Hospice & DME Open Door Forum on November 10, 2021

Home Health LUPA Threshold: Bill Correctly

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare In a recent report, the Office of Inspector General found that Medicare improperly paid some claims for home health services with 5–7 visits in a payment episode. Review the Medicare Home Health Benefit (PDF) and Home Health Prospective Payment System (PPS) (PDF) booklets to properly bill for services slightly above the…… Continue reading Home Health LUPA Threshold: Bill Correctly

Upcoming Home Health, Hospice & DME Open Door Forum

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The next Home Health, Hospice & DME Open Door Forum is scheduled for: Wednesday, November 10, 2021 PM at 2:00-3:00 PM Eastern Time (ET). Please call at least 15 minutes prior to the forum start time. **This Agenda is Subject to Change** Opening Remarks Chair –…… Continue reading Upcoming Home Health, Hospice & DME Open Door Forum

Quality Reporting Program: Non-Compliance Letters for CY2022 APU for Home Health Agencies

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare CMS is providing notifications to home health agencies that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2020, which will affect their CY 2022 Annual Payment Update (APU). Non-compliance notifications are being distributed by the Medicare Administrative Contractors (MACs)…… Continue reading Quality Reporting Program: Non-Compliance Letters for CY2022 APU for Home Health Agencies

October 2021 CMS Quarterly OASIS Q&As

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has just posted (October 19, 2021) the October 2021 CMS Quarterly OASIS Q&As document.  This is a 3-page document that addresses 7 specific questions: Question 1: An RN goes to a patient home for an anticipated discharge visit. The patient agrees to discontinuing home care…… Continue reading October 2021 CMS Quarterly OASIS Q&As

Upcoming Home Health, Hospice and DME Open Door Forum – August 26, 2021

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The next Home Health, Hospice & DME Open Door Forum is scheduled for: Thursday, August 26, 2021, at 2:00-3:00 PM Eastern Time (ET). This call will be Conference Call Only. To participate by phone: Dial: 1-888-455-1397 & Reference Conference Passcode: 8604468 Persons participating by phone do…… Continue reading Upcoming Home Health, Hospice and DME Open Door Forum – August 26, 2021