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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...
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Compliance officers were awaiting the Office of Civil Rights (OCR) final rules on Breach Notification, Enforcement, and the modification to Privacy and Security Rules of HIPAA HITECH. Now that we have the regulations, it is time to review the basics in...
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Select Data
on
Mon, Apr 22 2013
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Filed under: Home Health, Select Data, Compliance, OCR, Office of Civil Rights, HIPPA, PHI, HIPPA HITECH, personal health information, Corporate Compliance
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Statistical Data Every time an OASIS is submitted to the state, portions of it may be parsed out to state, regional, and Federal groups such as the HEAT, MAC review groups, and Federal special projects in the DOJ and FBI. That means that when a review...
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Select Data
on
Thu, Mar 21 2013
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Filed under: clinical data, Home Health, Compliance, Billing, PECOS, edits, Code 37236, Q Codes, 2CJK, NHIC, Audits, MUEs, Code 37237, 1BGP
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The Doctor Weighs In
on
Thu, Mar 21 2013
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Filed under: Health IT, Health information technology, Compliance, Patient Engagement, Doctor-patient relationship, prevention, Health care professionals, Pain, humor in medicine, Lisa Suennen, Venture Valkyrie, Other stuff, Patient experience, patient accountability
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Women are finally getting the respect they deserve. According to a new report from the George Washington University School of Public Health and Health Services (SPHHS), women’s health issues are key to the health of the nation and should be a major consideration when policymakers design and set up new...
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With the focus of our educational articles in March being on Compliance in Home Health Care, we are excited to put up these slides from a recent presentation given by Susan Carmichael on The Must Haves for a Corporate Compliance Program. Download...
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2013 will be the most important year in U.S. healthcare industry in modern history thus far, according to Deloitte. The nation’s fiscal challenges and the healthcare industry’s bulk are on a collision course, says the consulting firm, predicting that the story line about healthcare in 2013 will center...
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People with mental illness smoke at much higher rates than the U.S. population as a whole, but are as interested in quitting as other smokers and can quit successfully with more intensive smoking cessation treatment.
Those are the conclusions of a recent report released by the Centers for Disease Control...
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In the increasingly hot-button realm of reducing avoidable Medicare rehospitalizations, the handoff from hospital to home has become the tipping point, agreed expert panelists at this week's Care About Your Care forum presented by the Robert Wood Johnson Foundation.
"The hospital discharge is...
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Healthcare Intelligence Network
on
Fri, Feb 15 2013
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Filed under: Medicare, Uncategorized, Compliance, healthcare reform, Affordable Care Act, Case Management, Reducing Readmissions, Hospital Readmissions, Transitions in Care, patient satisfaction, Population Health Management, care transitions
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No matter which MAC or RAC reviews your agency, high risk probes are on the rise. The intermediaries are mandated by CMS to monitor areas of greater risk. The RACs are paid by contingency on aberrant findings. When either finds trends of concern they...
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No matter which MAC or RAC reviews your agency, high risk probes are on the rise. The intermediaries are mandated by CMS to monitor areas of greater risk. The RACs are paid by contingency on aberrant findings and their algorithms are making findings easier...
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This is THE topic one sees everywhere; trade journals, conferences, CMS, MLN, State Alerts, Home Health Associations. This topic is no longer just an operational and financial issue. Boards of Directors are looking to the Corporate Compliance Department...
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Select Data
on
Tue, Jan 8 2013
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Filed under: hipaa, CMS, Home Health, Compliance, hospitals, ACO, Affordable Care Act, ACA, MLN, Affordable Care Act (ACA), HIPPA, Patient Centered Medical Homes, Hospital Readmission Reductions Program (HRRP), Corporate Compliance, (HRRP), Transitional Care Initiatives, Hospital Readmission Reductions Program
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Market Basket and Payment Rate Update On November 2, 2012, CMS released the Medicare Home Health Final Rule for the Home Health Prospective Payment System 2013. The proposal includes the 2013 Market Basket Index (MBI) update of 2.3%, the required 1 point...
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Select Data
on
Tue, Nov 27 2012
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Filed under: Medicare, CMS, Home Health, Select Data, Compliance, Face to Face Encounters, ACA, Affordable Care Act (ACA), Therapy, NAHC, ICD-9CM Coding, M1024, Market Basket Index, LUPA Rates
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A nationwide class-action lawsuit brought by Medicare beneficiaries would eliminate the present CMS policy requiring Medicare beneficiaries to show a likelihood of medical and/or functional improvement before Medicare will pay for skilled nursing, physical...
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The Doctor Weighs In
on
Sat, Nov 10 2012
Filed under:
Filed under: accountable care organizations, ACOs, Compliance, Patient Engagement, Personal Health Record, diabetes, Mitt Romney, Patient Safety, Innovation, Regulation, healthcare reform, Sustainability, Obesity, Nutrition, exercise, PPACA, Healthcare Costs, Politics, People in healthcare, Health care professionals, investors, Patient Protection and Affordable Care Act, Innovation/innovative companies, Payment, Health care & health policy, Politics & public policy, Medicine: wellness & disease, Obamacare, President Obama, Lisa Suennen, Venture Valkyrie, Change Management, RETAIL HEALTH, Public sector, psilos, health insurance exchanges, Wade Roush, pay for performance, Startups, consumer protection, EMPLOYERS, Health Economy, preventative measures, health care analytics, health care data, fee-for-service reimbursement, patient accountability, avoid readmissions, improved healthcare efficiency, rewards, venture capitalists, MARKETPLACE, radical change, cutting PBS funding, value in health care, health care technology, healthcare and economy, health entrepreneurs, down economy, chronic conditions, incentives in health care, access to medical care