The upcoming public reporting of the OASIS Section GG items, particularly GG 0130 and GG 0170, will impact home health agencies’ quality scores starting January 1, 2025. Ensure your team understands the reporting requirements for the Discharge Function Score, Home Health Quality Reporting Program (HH QRP), and Home Health Value-Based Purchasing (HHVBP) program.
A recent analysis shows a steady increase in prior authorization denials for Medicare Advantage (MA) beneficiaries, creating challenges for home health agencies. With denial rates on the rise, agencies must stay informed about MA payer guidelines to prevent delays in care.
Several hospice agencies have reported erroneous claim denials under Medicare error code 17729. This issue is affecting claims related to specific physicians, where claims process smoothly if the certifying physician’s SOC date is prior to June. However, claims with SOC dates in June and onward are being denied even after meticulous verification of the physician’s […]