Mary Madison, RN, RAC-CT, CDP  Clinical Consultant – Briggs Healthcare CMS added 3 new modifiers for home oxygen use under national coverage determination (NCD) 240.2 to indicate the appropriate treatment regimen and presence of supporting documentation for each Medicare patient group: Section B, Group I: modifier N1 Section B, Group II: modifier N2 Section D: modifier N3…… Continue reading Home Oxygen: 3 New Claims Modifiers and Home Health Prospective Payment System: CY 2023 Rural Add-on Policy 

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS has posted the OASIS_E_Final_Instruments_effective_1_1_2023 (ZIP). A log of changes from the draft to final instrument and Manual is also available here.  The log is 12 pages in length. CMS provided the OMB approval number yesterday: 0938-1279.

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On Monday, December 5th, CMS posted the agenda for today’s ODF. Late yesterday, CMS posted this updated agenda. I’ve italicized the new items: Home Health and Hospice ODF Topics: The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, December 7, 2022…… Continue reading Updated Agenda for Today’s Home Health, Hospice & DME Open Door Forum

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare This document (5 pages in length) contains contact information for both OASIS Education and Automation Coordinators. Each State has designated OASIS Coordinators to provide guidance on the administration and submission of the OASIS instrument. The list was last updated in February 2022. The OASIS E data…… Continue reading OASIS Education and Automation Coordinators

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare The next Home Health, Hospice & DME Open Door Forum is scheduled for Wednesday, December 7, 2022 PM at 2:00 PM-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 Home Health, Hospice & DME Open Door Forum – December 7, 2022

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare CMS posted Transmittal 11714 – Change Request 12924 on November 18, 2022. This Change Request contains no new policy. It improves the implementation of existing policies. The Home Health (HH) Grouper program contains various data validity edits that ensure consistent and accurate data is used when…… Continue reading Home Health Claims: New Grouper Edits

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare Date: Friday, December 2, 2022Time: 12:00 p.m. to 12:50 p.m.Topics: OHFC Investigations Process and Home Care Complaints You are invited to join the Home Care Matters WebEx Series hosted by the MDH Health Regulation Division. We encourage basic and comprehensive home care providers and stakeholders attend to learn…… Continue reading MN Providers: Upcoming Home Care Matters Meeting – December 2, 2022

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare As the expanded HHVBP Model prepares to start the first performance year on January 1, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the November 2022 Pre-Implementation Performance Report (PIPR) to all active home health agencies (HHAs). The PIPRs provide HHAs with data on…… Continue reading Expanded HHVBP Model: Pre-Implementation Reports & Live Streaming Event

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare On November 10, 2022, CMS posted Transmittal 11702 – Change Request 12957. There’s also a corresponding MLN Matters Number: MM12957: Both documents should be reviewed by your team as well as your billing staff.

Mary Madison, RN, RAC-CT, CDPClinical Consultant – Briggs Healthcare As the expanded HHVBP Model prepares to start the first performance year on January 1, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the November Pre-Implementation Performance Report (PIPR) to all active home health agencies (HHAs). The PIPRs provide HHAs with data on their…… Continue reading Expanded HHVBP Model Pre-Implementation Performance Reports Available