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NEW PROPOSED CHANGES FOR HOSPICE- Changes Changes Changes: THEY ARE COMING!

First… The CMS proposed rule “Medicare Program; FY2014 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements; and Updates on Payment Reform.” was released April 29, 2013 and the questions have been frequent per CMS. Though...

Published Fri, May 05 2013 3:31 PM by Select Data

Filed under: CMS, Select Data, OASIS-C, 2014, CMS Guidelines, Hospice, MEDPAC, ASAP, LTCHs, QIES, QRP, FY2014 Hospice Payment Rates, Payment Reform Discussion, Skilled Nursing Faclities, Assessment and Processing, Quality Improvement Evaluation System, SelectData, IRFs, Inpatient Rehabilitation, Long Term Care Hospitals, ICD-9 CM, General Inpatient Levels of Care, QRP data, SNF, GIP
Billing Compliance, Q Codes, Edits and Audits: Compliance in the Home Health Industry an Update

CMS revised the requirements on “April 19, 2013 to delete “and indicating whether services were added to the HH plan of care by a physician who did not certify the plan of care” from the Provider Action Needed” section of MLN Matters numberMM8136 Revised...

Published Tue, May 05 2013 6:40 PM by Select Data

Filed under: CMS, Home Health, Compliance, CMS Guidelines, Billing, Q-Codes, Billing Compliance
Preparing to Be Surveyor Ready Always? 10 Steps to Success

Educate clinicians to document for clear reading, substantive support for Coding, and to support reimbursement. Expect QA team members to verify 10 key elements that can lead to successful surveys. Documentation Documentation Documentation is the key...

Published Tue, Feb 02 2013 4:29 PM by Select Data

Filed under: Medicare, CMS, Home Health, CMS Guidelines, Documentation, caregivers, Appropriate and Timely Communication, Medicare Benefits Manual, Change of Condition, Patient and Caregiver Teaching, Documentation of Wounds, Conditions for Coverage of Home Health Services, Home Visit Documentation, Documenation, Qualifying Home Health Plan, Total Body Assessments, Timely Interventions
Good Coding: Helps Your Agency Keep Its Revenue Bad Coding: Can Mean You Lose Your Revenue

PPS has always meant that “close enough” isn’t good enough. A digit off can be costly. Coding to the highest level of specificity can be complex and confusing. CMS has published Coding Guidelines and the Coding Clinic remains the source document for any...

Published Wed, Feb 02 2013 10:52 AM by Select Data

Filed under: CMS, ICD9-CM Coding, ICD-10, CMS Guidelines, ICD-9, HIPPA, ICD-10-CM Coding, Home Health Coding, ICD-9CM Coding
ICD – 10 CM: Completing the Gap Analysis and Transition Plan (Part 2 of a Coding Series)

ICD-10 CM is going to impact the entire home health industry and every department of your agency. Now that we know that the implementation date will be October 1, 2014, agencies need to establish a solid plan now. You need every day of the 24 months to...

Published Thu, Aug 08 2012 11:00 AM by Select Data

Filed under: CMS, Uncategorized, ICD9-CM Coding, Compliance, CMS Guidelines, Billing, ICD-10-CM Coding, Therapy, ICD-9CM Coding
ICD-10: An Overview Are You Prepared? Part 1

The implementation date for ICD-10-CM has been pushed back one year to October 1, 2014, but it doesn’t mean you have a lot of time. If you have not assessed, through a Gap Analysis, the impact of ICD-10 on your organization, you should be planning that...

Published Thu, Aug 08 2012 11:00 AM by Select Data

Filed under: hipaa, CMS, ARRA, OASIS-C, ACO, CMS Guidelines, ICD-10-CM Coding
Pain Management: It is a Focus of Care and a Focus of Auditors Part 2

Pain Assessment Agencies need to identify, through policy or definitive tool, the questions to be asked. Some, but certainly not all questions, include: What initiates or triggers the pain? How and when did the injury occur or when was the disease been...

Published Thu, Mar 03 2012 7:35 PM by Select Data

Filed under: CMS, CMS Guidelines, Auditors, NSAIDS, Pain Assessment
The Performance Improvement Plan; Silent but Powerful

Among RACs, MACs, MICs, and Z-PIC concerns, along with new survey protocols, new CY 2012 regulations, the advent of 5010, Accountable Care Organizations, and looming ICD-10 CM, what tools can a leader utilize to help mitigate risk? One such tool is the...

Published Thu, Jan 01 2012 6:45 PM by Select Data

Filed under: Medicare, Home Health, Home Care, Select Data, OASIS-C, Compliance, CMS Guidelines, Coding, ICD-10-CM Coding, Z-PICs, MICs, RACs, MACs, CY2012, Home Health Software, (PIP), Performance Improvement Program
Educational Videos: RACs, MACs, Z-PICs, Part II of IV

RACs, MACs, Z-PICs, Part II of IV CERTS – (Comprehensive Error Rate Testing) To better calculate the performance of the FIs and MACs, as well as to look at the reasons for their errors, CMS decided to look at a number of additional rates. The additional...

Published Thu, Jan 01 2012 6:38 PM by Select Data

Filed under: Medicare, hipaa, Home Health, Select Data, Educational Videos, OASIS-C, Compliance, CMS Guidelines, HEAT, Z-PICs, MICs, RACs, MACs, HIPPA HITECH, Part II of IV
Educational Videos: RACs, MACs, Z-PICs, Part I of IV

RACs, MACs, Z-PICs, Part I of IV CMS has Unleashed the Auditors Annually, CMS receives 1.2 billion claims. That breaks down to 4.3 million claims per work day, 574,000 claims per hour, and 9,579 claims per minute. Fraud and abuse are on the rise and the...

Published Thu, Jan 01 2012 6:18 PM by Select Data

Filed under: hipaa, Home Health, Educational Videos, OASIS-C, Compliance, CMS Guidelines, HEAT, Z-PICs, MICs, RACs, MACs, HIPPA HITECH, CERTs, the HEAT, and now
Ethics and Accountability in an Electronic Age: 2012

You are a leader or have interests in home healthcare and hospice, so you are aware of the challenges and opportunities presented in this electronic age. Are you conducting your HIPAA Risk Analysis? Do you have your Disaster Preparedness and Recovery...

Published Wed, Dec 12 2011 6:24 PM by Select Data

Filed under: Medicare, hipaa, CMS, HITECH, Home Health, Select Data, Compliance, CMS Guidelines, HIPPA, Home Care Coding, HIPPA HITECH, CY2012, Home Health Software, Electronic Age, HIPAA HITECH
The 2012 Home Health Prospective Payment System (HHPPS) Final Rule

The changes are soon upon us as 2012 soon arrives. The Federal Register published Nov. 4, 2011 provided the final rule that updates the home health prospective payment system (PPS) rates for 2012. The notice identifies changes to the national standardized...

Published Fri, Dec 12 2011 8:07 PM by Select Data

Filed under: Medicare, CMS, Home Health, Home Care, Select Data, OASIS-C, Compliance, CMS Guidelines, Home Care Coding, Final Rule, Home Health Coding, CY2012, Home Health Software, HHPPS
Educational Videos: Clinical Compliance Role Of Verbal Orders CY 2011

Clinical Compliance Role Of Verbal Orders CY 2011 Susan Carmichael, Chief Compliance Officer at Select Data answers a very import question regarding CMS changes for Cy2011 regarding the role of verbal orders. Susan will answer more questions you have...

Published Thu, Dec 12 2011 12:42 PM by Select Data

Filed under: CMS, Home Health, Select Data, CY2011, Educational Videos, Compliance, CMS Guidelines, Verbal Orders, Susan Carmichael, Chief Compliance Officer
Compliance Q&A: Survey protocols, CoPs, HIPAA, ACOs, and Transitions of Care

Questions regarding 2011 Survey protocols Q. We have several questions re the new survey protocols. What are some of the key differences? What does the pre-survey preparation include? A. The new survey protocols focus on specific standards within identified...

Published Sat, Nov 11 2011 1:45 PM by Select Data

Filed under: Medicare, hipaa, CMS, Best Practice Intervention Practice, Home Health, Home Care, Select Data, Homecare, Compliance, Surveys, Patient Survey, Face to Face Encounters, ACO, CMS Guidelines, HIPPA, Face-To-Face, NAHC, CoPs, HIPPA HITECH, PPS Rates
CMS released the final regulation which implement a new form of healthcare organization, the Accountable Care Organization (ACO)

On October 20, 2011the US Department of Health and Human Services released the final rule implementing the ACO Shared Savings Program and the complementary regulations and guidance from CMS/OIG as well as the DOJ/FTC. It should be noted that the final...

Published Sat, Nov 11 2011 11:41 AM by Select Data

Filed under: Medicare, CMS, Healthcare, Home Health, Home Care, Select Data, OASIS-C, Compliance, Legislation, ACO, OIG, CMS Guidelines, Affordable Care Act (ACA), QM

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NEW PROPOSED CHANGES FOR HOSPICE- Changes Changes Changes: THEY ARE COMING!

Billing Compliance, Q Codes, Edits and Audits: Compliance in the Home Health Industry an Update

Preparing to Be Surveyor Ready Always? 10 Steps to Success

Good Coding: Helps Your Agency Keep Its Revenue Bad Coding: Can Mean You Lose Your Revenue

ICD – 10 CM: Completing the Gap Analysis and Transition Plan (Part 2 of a Coding Series)

ICD-10: An Overview Are You Prepared? Part 1

Pain Management: It is a Focus of Care and a Focus of Auditors Part 2

The Performance Improvement Plan; Silent but Powerful

Educational Videos: RACs, MACs, Z-PICs, Part II of IV

Educational Videos: RACs, MACs, Z-PICs, Part I of IV

Ethics and Accountability in an Electronic Age: 2012

The 2012 Home Health Prospective Payment System (HHPPS) Final Rule

Educational Videos: Clinical Compliance Role Of Verbal Orders CY 2011

Compliance Q&A: Survey protocols, CoPs, HIPAA, ACOs, and Transitions of Care

CMS released the final regulation which implement a new form of healthcare organization, the Accountable Care Organization (ACO)