by Melinda A. Gaboury, CEO | Aug 8, 2022 | Home Health Documentation & OASIS, Home Health Reimbursement, Monday Minute with Melinda, Home Health Regulation & Compliance
Hello, everyone, and welcome to our Monday Minute. Today we’re going to discuss the Review Choice Demonstration and the process and cycle that is happening right now within the five states that are involved in the Review Choice Demonstration. The Review...
by Melinda A. Gaboury, CEO | Jul 26, 2021 | Home Health Documentation & OASIS, Home Health Reimbursement, Monday Minute with Melinda, Home Health Regulation & Compliance, Home Health Quality Reporting
This minute covers the update for Florida and North Carolina Home Health Review Choice Demonstration (RCD). Palmetto GBA provides HHAs with a wealth of information addressing the requirements and expectations of the RCD. Hello Everyone and Welcome to our Monday...
by Melinda A. Gaboury, CEO | Apr 3, 2019 | Home Health Documentation & OASIS, Home Health Reimbursement, Home Health Regulation & Compliance
CMS Announcement The choice selection period for HHAs located in Illinois will begin on April 17, 2019 and end on May 16, 2019. HHAs should visit the Palmetto GBA provider portal here for information and instructions on the selection process. Beginning April 17, 2019,...
by Melinda A. Gaboury, CEO | Mar 13, 2019 | Home Health Documentation & OASIS, Home Health Reimbursement, Home Health Regulation & Compliance
The Office of Management & Budget (OMB) officially approved implementation of the Review Choice Demonstration in Home Health. We are currently awaiting an official notification of a start date for Illinois from The Centers for Medicare & Medicaid Services...
by Melinda A. Gaboury, CEO | Aug 8, 2023 | Hospice Coding, Monday Minute with Melinda, Telehealth, Hospice Documentation, Hospice Regulation & Compliance, Hospice Reimbursement, Hospice Quality Reporting Program
The Hospice final rule includes a finalized 3.1% increase in the base rates for Routine, Continuous, GIP, and Inpatient Respite Care. This increase will also be applied to the Hospice aggregate cap, which will be set at $33,494 for fiscal year 2024. ...
by Melinda A. Gaboury, CEO | Jun 7, 2021 | COVID-19, Monday Minute with Melinda, OIG Audit, Home Health Regulation & Compliance, Targeted Probe and Educate
This minute covers the news release from CMS concerning: MACs Resume Medical Review on a Post-payment Basis. Hello, everyone, and welcome to our Monday Minute. Today I want to talk to you about the release from CMS, just last week, about Medical Review. As you...
by Melinda A. Gaboury, CEO | Jun 7, 2018 | Home Health Documentation & OASIS, Home Health Reimbursement, Home Health Regulation & Compliance
CMS released a Comment Request, via the Federal Register, regarding Pre-Claim Review Demonstration being set to return on or after October 2018 in Illinois, Ohio, North Carolina, Florida, and Texas. For a review of the structure of Pre-Claim Review please click here....
by Melinda A. Gaboury, CEO | Jan 31, 2022 | COVID-19, Home Health Reimbursement, Monday Minute with Melinda, Telehealth, Hospice Regulation & Compliance, Hospice Reimbursement, Home Health Regulation & Compliance
Hello everyone, and welcome to our Monday Minute. As was promised, today we’re going to discuss the Public Health Emergency waivers, specifically related to Telehealth and where that has taken us. With the Telehealth waivers, you are allowed to conduct...
by Melinda A. Gaboury, CEO | Apr 1, 2020 | PDGM, OASIS-D1, COVID-19, Home Health Documentation & OASIS, Home Health Reimbursement, Hospice Documentation, Hospice Regulation & Compliance, Hospice Reimbursement, Home Health Regulation & Compliance, Home Health Quality Reporting, Home Health Value-Based Purchasing, Hospice Quality Reporting Program, Targeted Probe and Educate
Changes and updates are occurring rapidly, this information is as best we understand on 05/07/20. We will continue to monitor the situation and update as we are able. As we are facing the pandemic of the century, home health and hospices are on the frontline...
by Melinda A. Gaboury, CEO | Oct 21, 2019 | PDGM
As home health agencies continue to plan for the implementation of PDGM there are some very important questions that agencies should be asking of the software vendors/electronic medical records (EMR) that will be utilized for clinical documentation and billing of...
by Robbi D. Funderburk James, BSN, RN, HCS-D, HCS-O | Jul 2, 2018 | Home Health Documentation & OASIS, Home Care Coding, Home Health Regulation & Compliance
Coding for home health agencies has moved to the forefront of quality review and agency scrutiny with the implementation of the Patient Driven Groupings Model (PDGM) and the most recent clarifications of the involvement of the primary diagnosis coding with the...
by Sharon Litwin, RN, MHA, HCS-D | May 12, 2021 | COVID-19, Home Health Documentation & OASIS, Hospice Documentation, Hospice Regulation & Compliance, Home Health Regulation & Compliance
The Center for Clinical Standards and Quality/Quality, Safety & Oversight Group updated guidance for surveyors in QSO-21-15-ALL which revised emergency preparedness considering the Public Health Emergency (PHE). We have all seen how emerging infectious disease...
by Katie Wehri | Oct 16, 2017 | Hospice Documentation, Hospice Regulation & Compliance, Hospice Reimbursement
CMS reminded hospices recently about the need to comply with Medicare hospice election statements and certification of terminal illness (CTI) requirements. This reminder comes shortly after CMS’ announcement of the expansion of the targeted probe and educate (TPE)...
