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Home Health & Hospice Week

Industry Note:

PDGM Manual Changes Are Out

Published on Fri Nov 22, 2019

See new Medicare Claims Processing Manual changes to accommodate PDGM at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/ML
NMattersArticles/Downloads/MM11527.pdf.

Other Articles in this issue of

Home Health & Hospice Week

PDGM:
CMS Relents On 1 Group Of Diagnosis Codes For PDGM
Warning: Medicare will be watching how you use the newly included dysphagia codes. If you’ve [...]

Reimbursement:
These 6 R-Codes Will Increase Your PDGM Payment
Unspecified dysphagia is included. The codes the Centers for Medicare & Medicaid Services has agreed [...]

Diagnosis Coding:
Figure Out Your Alternatives For Top Diagnosis Codes
CMS won’t budge on excluding muscle weakness. While Medicare officials made some tweaks to PDGM’s [...]

Strategy:
Use These Last Weeks To Prep For Major Coding Changes
Check your progress on codes that will RTP. On Jan. 1, you need to hit [...]

Hospice:
Enforcement Vise Continues To Tighten On Hospice Industry
GAO wants more quality considerations injected into survey process. Hospice surveys are under fire again, [...]

Fraud & Abuse:
Will Your Own Data Land You In Hot Water?
Brace for more audits, among other fraud-fighting measures. Here’s what you can expect to see [...]

Surveys & Certification:
Alternative Sanctions May Be On The Horizon For Hospices
Can you afford a $20,000 per day fine? The HHS Office of Inspector General and the [...]

Industry Note:
OIG Eyes Hospital Proration Policy That Affects Referrals
Findings from a recent OIG audit may make your hospital referrals more elusive than ever. [...]

Industry Note:
PDGM Manual Changes Are Out
See new Medicare Claims Processing Manual changes to accommodate PDGM at

Industry Note:
Whistleblower Charges Focus On Face-To-Face
A $2.5 million settlement of whistleblower charges centers on face-to-face physician encounters for home health [...]

Industry Note:
LHC-LifePoint To Make 3 Buys
LHC Group Inc. and LifePoint Health are continuing to expand their existing joint venture partnership, [...]

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