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Category \ Operational


Often while admitting patients, and on subsequent visits during medication management, I have run into a familiar scenario. The time comes to assess the medication regimen, and like Sherlock Holmes, I begin asking questions. Once it is established that I … Keep Reading
Palmetto GBA, the largest home health and hospice Medicare Administrative Contractor (MAC) has taken steps to suppress payments to home health agencies identified as having a “high number” of auto-cancelled Requests for Anticipated Payment (RAP). The National Association for Home … Keep Reading
ICD-10 will be here in a few short months.  The deadline for implementation is October 1, 2014.  Have you begun your ICD-10 implementation plan yet?  Do you know where to start? It is a very daunting task and overwhelming just … Keep Reading
The Center for Medicare/Medicaid Services (CMS) has identified technical issues with certain parts of the April 2013 quarterly update to their computer system and has instructed all Medicare Administrative Contractors (e.g. Palmetto GBA, CIGNA, NGS, Anthem) to hold all EOE … Keep Reading
On May 1, 2013, Phase two of Medicare’s ordering physician PECOS enrollment status audit will go into full effect. This enrollment audit, and PECOS– Provider Enrollment Chain and Ownership System, is part of the Affordable Care Act, section 6405. Beginning … Keep Reading
Home Health agencies are learning to do more with less with all the cutbacks in reimbursement.  The upcoming sequestration, which cuts Medicare reimbursements to health care providers by 2%, makes it even more imperative for home health agencies to find … Keep Reading
To help healthcare providers prepare for ICD-10, CMS has released new checklists and timelines for small and medium provider practices, large provider practices, small hospitals and payers. These resources are designed to give a high-level understanding of what the ICD-10 … Keep Reading
The Final Rule that was published November 8, 2012, will implement several changes beginning on January 1, 2013. Among these changes are: Limitation of resolved conditions that can be coded in M1024 Clarification of Face to Face Encounter Guidelines Therapy … Keep Reading
Without a doubt, performance evaluations and/or appraisals are one of the least liked and hardest requirements of a home care leaders job. This is particularly true for those in mid management. But, they aren’t the only ones! For members of … Keep Reading
Recently, the Final Rule set the implementation date of ICD-10 for April 1, 2014. Although this is over a year away, agencies should begin to make preparations now for a smooth transition from ICD-9. ICD-9 was developed by the World … Keep Reading
The promise of EHRs to improve the delivery, safety, efficiency, and ultimately reduce the cost of care have been the impetus to roll them out across the healthcare industry, and now more so in home health. The procurement of an … Keep Reading
Author: Sam Smith
The recent news about Medicare fraud arrests further highlights why home health agencies committed to the highest standards of practice continue to choose Axxess. Axxess is an ANCC accredited consulting and technology vendor in the Home Health industry. The ANCC … Keep Reading

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