Latest Articles

Q&A: Providing alternatives to telemedicine

Q: Telemedicine may not be the best fit for all patients. How can case managers help facilitate in-person visits for those patients that cannot engage in telemedicine visits? A: If both in-person and telemedicine visits are available, it may be helpful to communicate with the providers to help educate patients on which might be more […]

Ensure patients are up to date on vaccines for influenza, pneumonia

In the midst of the COVID-19 public health emergency and the height of flu season, it is important to ensure patients in home health and hospice care are up to date on their influenza and pneumonia vaccines. A post on a Celerian Group Company (CGS)’s website reminds providers: Home health agencies can provide the influenza […]

Q&A: Querying for acute respiratory failure

Q: Acute respiratory failure is consistently one of our top denied diagnoses. We’ve tried to address common documentation errors through education but are still seeing issues. How can our CDI staff and coders create more effective queries for this condition? A: The main reason I see for acute respiratory failure denials is a lack of […]

MACs announce RAP workaround due to error message

An issue with RAP processing under the new no-pay RAP policies has led to some RAPs being returned to agencies, but Medicare Administrative Contractors (MACs) have determined a workaround, according to a message from CGS to providers last week. While its optional for you to report a Core-Based Statistical Area (CBSA) code using value code […]

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Intake and output monitoring

You should monitor residents who have fluid imbalances or are at high risk of dehydration by calculating intake and output (I&O) each shift.

Fire safety guidance for senior living

This post is an excerpt taken from HCPro’s new title, Disaster Planning, Infection Control, and OSHA Compliance: A Toolkit for Senior Living, a cost-effective, all-inclusive guide to improve safety and satisfaction in your senior living facility. Fire drills should be done based on your state regulations and/or your facility’s policy and procedures. Staff must be […]

PDPM Q&A: Payment overview and billing

CMS has released its FAQ sheet on PDPM: Q. What is PDPM? A. The Patient Driven Payment Model (PDPM) is a new case-mix classification system for classifying skilled nursing facility (SNF) patients in a Medicare Part A covered stay into payment groups under the SNF Prospective Payment System. Effective beginning October 1, 2019, PDPM will […]

5 Ways Interoperability Can Benefit Home-Based Care

By: Navin Gupta, VP, Home Health, Hospice & Private Duty, MatrixCare The digital age has created an overhaul of technology within the healthcare industry – transforming health records into collections of electronic data that should simplify administration processes for providers everywhere. But just because health records have gone digital, doesn’t mean it makes communication any […]

Essential tools for the MDS coordinator

Whether you are just beginning your career or are a veteran MDS coordinator, you play a pivotal role in managing the long-term care residents’ care.