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

NEW WEBINAR AVAILABLE – Home Health Quality Reporting Program – OASIS Interim Guidance Webinar (Advanced Webinar)

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The Centers for Medicare & Medicaid Services (CMS) invites Home Health providers to listen to the Home Health Quality Reports Program’s OASIS Interim Guidance Webinar. In an effort to provide an overview of important OASIS data collection clarifications, CMS has developed this webinar to highlight…… Continue reading NEW WEBINAR AVAILABLE – Home Health Quality Reporting Program – OASIS Interim Guidance Webinar (Advanced Webinar)

Iowa HHA: Home Health Agency Low-Utilization Payment Adjustment (LUPA) Reimbursement Rates

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Iowa Department of Human Services (DHS) and Iowa Medicaid Enterprise (IME) posted INFORMATIONAL LETTER NO. 2250-MC-FFS on August 3, 2021.  The IL is directed to Iowa Medicaid Home Health Agencies and is effective July 1, 2021. Provisions of the 2021 Iowa Acts, House File 891, Section…… Continue reading Iowa HHA: Home Health Agency Low-Utilization Payment Adjustment (LUPA) Reimbursement Rates

July 2021 CMS Quarterly OASIS Q&As

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted a 5-page July 2021 Quarterly OASIS Q&As document.  This document answers 13 questions relating to the OASIS data set.  Some examples include: Are there situations in which we are able to update the OASIS items within the assessment time frame, and situations when…… Continue reading July 2021 CMS Quarterly OASIS Q&As

2020 Program for Evaluating Payment Patterns Electronic Reports (PEPPER) Available for Home Health Agencies (HHAs)

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Fourth quarter calendar year 2020 Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) are available for Home Health Agencies (HHAs). These reports summarize provider-specific data for Medicare services that may be at risk for improper payments. Use your data to support internal auditing and monitoring activities.…… Continue reading 2020 Program for Evaluating Payment Patterns Electronic Reports (PEPPER) Available for Home Health Agencies (HHAs)