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What is Discharge Function Score

WEBGG Self Care and GG Mobility will make up the Discharge Function Score. Here is the calculation below. What this says is that the observed score will be divided …

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What does CMS Final Rule Mean

WEBCMS proposed a 1.8% increase in rates. That is approximately $330 million increase for 2022. However, there rural add will be discontinued in 2022. That is a .1% reduction, so …

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What is an ADR in Home Health

WEBWhat is the Full Meaning of ADR? An Additional Development Request (ADR) occurs when the payer of a submitted insurance claim requests that the home …

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Medicare ADR Checklist

WEBHere are links and images for several of the MACs ADR Checklist (in addition to the list below) CGS ADR Checklist (Home Health and Hospice) Palmetto GBS ADR Checklist …

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How Can LUPA Be Avoided in Home Health

WEBA common situation where a LUPA can be avoided would be a patient with a foley catheter. Many agencies go in once per month to change the catheter and accept a …

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QAPI for Dummies

WEBM1810 Dress Upper Body 61 / 155 Changed 39.350%. M1820 Dress Lower Body 53 / 155 Changed 34.190%. M1840 Toileting 52 / 155 Changed 33.550%. As you …

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What Constitutes an Early Episode in Home Health Under PDGM

WEBWhat is an early episode in home health? According to CMS, In PDGM the first 30 day episode is early. All Subsequent periods in the sequence are classified as …

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How do I handle a UPIC Audit

WEBHomecare Answers’ can help your agency staff be successful through this arduous process of navigating the technicalities through direct intervention, or consulting …

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What is a Medicare UPIC

WEBA UPIC is a "United Program Integrity Contractor." That means, it is a contractor that is looking for improper payment (fraud) and the results can be devastating, even ruinous …

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OASIS Documentation for Dummies

WEBHere are the key components necessary for documentation for OASIS. This material is used with permission from a presentation by Ed Dieringer, PT. Ed has owned …

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PDGM For Dummies

WEBTherapy was being overutilized by home health agencies to compensate for poor coding and inaccurate OASIS. PDGM is an attempt by CMS to give agencies the …

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Who Can Complete an OASIS Assessment

WEBThe occupational therapist may complete the comprehensive assessment if the need for occupational therapy establishes program eligibility." Previously, only skilled …

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How Do You Read a HIPPS Code

WEBThere are 12 options lettered A-L. To learn about the 12 clinical groups click here. Position #3 is Functional Level. There are 3 options. A- Low, B- Medium, C- High. …

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How do I get HCS-D Certified

WEBHCS-D shows that a person is proficient in coding rules, knowledge, and guidelines for ICD-10-CM coding. Home Health coding is quite specialized and it usually …

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How is PDGM Calculated

WEBHere is a snapshot of what we found and how PDGM is calculated. Notice, we found $986.29 and the significant case mix weight increase. The next image shows a …

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What does OASIS stand for

WEBSimply put, OASIS is Outcome and Assessment Information Set. This means that OASIS is a tool that CMS uses to collect certain information from home …

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What Are the Changes to OASIS E

WEBOASIS E has several new items. 27 to be exact. However, many of the changes are simply removing an older question and replacing it with either one or more related questions but getting more information, or highlight interest in a different area. A perfect example of this is on M1040 (Race/Ethnicity).

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What is an OASIS reviewer

WEBAn OASIS reviewer is typically a nurse- but could be another clinical specialty such as physical therapist. The main responsibility is to ensure accuracy on …

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