PMB Blog

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…

Effective June 3, 2024, a critical update will be implemented for hospice agencies regarding the enrollment status of certifying physicians.…

Home health agencies are reminded of the policy concerning Electronic Visit Verification (EVV) Home Phone Landline Requirements. Compliance with these…

The Final April 2024 Interim Performance Reports (IPRs) for home health agencies (HHAs) are now accessible through the Internet Quality…

Discover the future of home health care compliance and efficiency through the latest advancements in Electronic Visit Verification (EVV). As the 21st Century Cures Act’s deadline approaches, read how state-of-the-art EVV solutions are here to ensure your agency meets the requirements seamlessly. Dive into the details of EVV readiness for your state and embrace the transition with confidence.

Reminder: As of July 2023, Home Health Agencies must adopt new G-codes for telehealth services. This crucial update mandates detailed reporting for synchronous telemedicine, audio-only consultations, and remote patient monitoring. Ensure your agency is prepared for these changes to maintain compliance and optimize billing processes.

Starting January 1, 2024, Home Health Agencies (HHAs) must follow new billing procedures for disposable Negative Pressure Wound Therapy (NPWT) devices. These will now be billed and paid separately under the period of care claims, Type of Bill 032x. It’s crucial for billing staff to note the application of deductibles and coinsurance, as well as the necessary coding changes. Stay updated to ensure compliance and efficient billing processes.

EVV Vendor Transition Overview Effective October 1, 2023, Texas Health and Human Services Commission (HHSC) is transitioning from two Electronic…

Precision Medical Billing understands that knowledge is power in the ever-evolving healthcare landscape. At the recent Fall Conference organized by…

A group of senators sent a letter to President Joe Biden last week urging him and his administration to look…

In the complex landscape of healthcare, companies specializing in home health and hospice services often encounter unique challenges when it…