Category: Home Care Coding
CMS Releases OASIS E1 Draft Version Ahead of 2025 Changes to Quality Reporting and Value Based Purchasing Programs
By Jennifer Osburn, RN, HCS-D, COS-C / Posted on: June 10, 2024On January 2, 2024, The Centers for Medicare and Medicaid Services (CMS) released a new, draft version of OASIS E1, which is to be used beginning January 1, 2025. The updated version of OASIS E is a result of a 2023 review of the data set by CMS with intention to identify items that did not meet criteria for inclusion.
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Important Updates and Clarifications for Home Health Claim Processing
By Melinda Gaboury / Posted on: May 6, 2024At the beginning of April, CMS issued key updates and clarifications regarding home health claim processing. The changes were issued through Change Request 13543. This Change Request transmittal brought a number of clarifications to the claims processing manual.
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Jennifer Osburn Joins Healthcare Provider Solutions Team as Clinical Consultant
By Melinda Gaboury / Posted on: March 20, 2024Healthcare Provider Solutions (HPS), a leader in providing billing, coding, and clinical services to the home health and hospice industries for over 22 years has welcomed Jennifer Osburn to their team as a Clinical Consultant. Jennifer will be focusing on OASIS E & Coding education to home health agencies across the nation. In addition she will be available to agencies for operations and clinical case management consulting.
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Regina Wild Joins Healthcare Provider Solutions as Director of Managed Care Consulting
By Melinda Gaboury / Posted on: February 21, 2024Regina Wild, LPN, has joined Healthcare Provider Solutions (HPS) as their Director of Managed Care Consulting. In her role at HPS, Regina specializes in assisting clients with obtaining managed care contracts, conducting rate negotiations, credentialing with health plans, and renegotiating current contracts.
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OIG Report Focuses on the Lack of Accurate OASIS Documentation of Falls with Major Injury
By Melinda Gaboury / Posted on: September 25, 2023In this Monday Minute, we discuss the latest OIG report which focuses on the accurate OASIS documentation of fall related injuries.
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Recent Changes for Medicare Home Health Billing
By Melinda Gaboury / Posted on: September 5, 2023In this Monday Minute, we discuss some recent changes concerning the billing of home health claims.
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Reviewing Proposed Changes to the Home Health Value-Based Purchasing Model for 2025
By Melinda Gaboury / Posted on: August 28, 2023In this week’s Monday Minute, we discuss the proposed changes specific to the Home Health Value-Based Purchasing model that will go into effect in 2025.
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Reviewing April 1, 2023 ICD-10 Coding Updates (VIDEO)
By Melinda Gaboury / Posted on: January 16, 2023In this Monday Minute, we discuss updates to ICD-10 codes that will go into effect April 1, 2023.
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Updated G-Codes Relating to Telehealth and Billing Non-Routine Supplies in Home Health (VIDEO)
By Melinda Gaboury / Posted on: December 6, 2022This Monday Minute discusses Telehealth G-codes effective January 1, 2023 and billing Non-Routine Supplies.
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Coding Changes for Home Health Related to the PDGM Model (VIDEO)
By Melinda Gaboury / Posted on: November 28, 2022In this Monday Minute, we will discuss specific coding changes related to the PDGM model for Home Health.
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Hospice New Rates 2023, ICD-10 Codes Updated & PDGM Proposed (VIDEO)
By Melinda Gaboury / Posted on: October 3, 2022In this Monday Minute, we discuss the many changes that have gone into effect beginning on October 1, 2022 for Hospice and Home Health.
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Clarifying Requirements for Coding and the Face-to-Face Encounter (VIDEO)
By Melinda Gaboury / Posted on: September 5, 2022In this Monday Minute, we will discuss a question that frequently comes up when discussing coding and the Face-to-Face encounter, especially under Medical Review.
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Diagnosis Coding Update for April 1, 2022 (VIDEO)
By Melinda Gaboury / Posted on: April 25, 2022This Monday Minute will briefly review the new ICD-10 Diagnoses related to COVID Vaccinations.
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COVID-19 Coding Changes
By HPS Blog Team / Posted on: April 8, 2021It remains challenging to code COVID-19 for patients, as there are so many variations seen, especially as time goes on. However, as of January 1, 2021, we have new diagnosis codes that are to be used for COVID-19 patients. They don’t include all of the patient scenarios for the conditions seen after COVID but it is a start.
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HPS Acquires 5 Star Consultants to Expand Clinical Services, Coding & OASIS Review
By Melinda Gaboury / Posted on: October 1, 2020We are extremely proud to welcome 5 Star Consultants’ industry-leading home care coding, OASIS review, and clinical consulting team to HPS. Together with their knowledge and experience, HPS is a stronger full-service home care and hospice resource for both current and new clients.
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Diagnosis Coding for Home Care – Tips for Success
By Robbi D. Funderburk James, BSN, RN, HCS-D, HCS-O / Posted on: July 2, 2018As the first year of PDGM has unfolded there have been many twists and turns in the new complexity of coding in home care. Many of the diagnosis codes we had been utilizing in home health, are no longer allowed as a primary diagnosis, called unacceptable primary diagnoses. Coding has always been important in home care, but is increasingly being scrutinized. Stay ahead of the game and ensure that your coding is up to par.
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