Tag: clinical

Grant to fund deprescribing study

The Alliance for Home Health Quality and Innovation (AHHQI) recently announced the recipient of its 2021 research grant. Jinjiao Wang, PhD, RN and her team at the University of Rochester School of Nursing are working to develop a deprescribing intervention for older home health patients with multimorbidity and polypharmacy which aligns with existing home health […]

10th Circuit Decision May Affect Work-From-Home Requests After Pandemic Ends

As COVID-19 vaccinations increase and states ease pandemic-related restrictions, many employers are beginning to plan for employees’ to return to the office. But not all workers may want to return, and some might ask to work remotely because of ongoing concerns about the virus in light of underlying health conditions or simply a fear of […]

Q&A: ICD-10 Return to Provider codes

Question: “Physical therapy has generalized muscle weakness as a secondary diagnosis, and we are worried this will cause our claim to kick out. Why can’t they just use muscle wasting?” Response: You are correct that generalized muscle weakness would be considered an RTP code for primary diagnosis in I0020B; however, there may be instances during […]

NAHC hosting COVID-19 town halls to address vaccine hesitancy

With concern about staff refusing the COVID-19 vaccine, the National Association for Home Care and Hospice (NAHC) will present a series of town hall events, beginning February 17. The weekly webinars will include clinical experts from three care groups to “answer a series of tough questions about vaccine hesitancy among caregivers based on their first-hand […]

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 […]

Q&A: Preparing revenue cycle education for clinical staff

Q: What are some key revenue cycle topics that should be included in education geared toward clinical staff? A: Education for clinical staff should be specifically tailored to their functions and their direct interaction with and impact on the revenue cycle. Clinical staff should not be inundated with information that is not relevant to them. […]

New CMS policy could change inpatient rehab denial trend

In the past, Medicare contractors have been allowed to deny a claim for inpatient rehab if the required three-hour minimum of direct care mark was missed by mere minutes, even if the additional minutes were made up on a subsequent day. Now, however, due to new guidance released by CMS, this denial trend could change. […]

The transition to a unified payment system for PAC facilities could start as early as 2019, suggests MedPAC

In response to a Congressional mandate, in 2016 The Medicare Payment Advisory Commission (MedPAC) recommended design features of a unified payment system, the post-acute-care (PAC) prospective payment system (PPS), to pay for services in the four post-acute care settings (home health agencies, skilled nursing facilities, inpatient rehabilitation facilities, and long-term care hospitals). In a meeting […]

CMS’ new infection control requirements: What you need to implement a successful antibiotic stewardship program

The Centers for Disease Control (CDC) report that roughly 40–50% of antibiotics are prescribed incorrectly, with the possibility that nearly 50% of antibiotics are given for too long in nursing homes. These numbers highlight the shortfalls that may exist in long-term care staff education when it comes to antibiotic usage. In the past two years, […]

Which Phase 2 requirements do you need help with?

What Phase 2 requirement does your facility need help with in 2017? Choose an answer from our polling question located on the sidebar to the right of this post. If you need help with Phase 2 requirements that are not listed there, leave your questions/challenges in the comments box. Let us know how we can […]