Archive for March 1st, 2011

March 1, 2011

Come to my intermediate coding classes in Texas!

You know enough to think you know a lot … but there is a lot more to learn!

Join me for my intermediate home care coding classes in Houston, Corpus Christi, and Dallas!

Here’s the guided tour:

  • Coding in PPS and case-mix
  • Learn how to code correctly to avoid upcoding
  • Review correct coding issues with OIG, PGBA, ZPICs and more
  • Use your skills by coding, coding, coding!

This is approved for nursing contact hours, administrative hours, and HCS-D maintenance.

Take a look at the attached flyer for more!

March 30-31, Houston

May 10-11, Corpus Christi

May 24-25, Dallas


March 1, 2011

Even with unexpected discharge, M0090 rules

Question: I understand that for a transfer, or unexpected discharge, the data collected at the last skilled visit is used for the remote documentation.  However, we have had several instances of losing several HHA, PTA, and OTA visit reimbursements, as we are using the last skilled visit as the last billable visit. Is this correct?  Sometimes there are nearly two weeks of forfeited visits due to this rule, which we are not sure we are interpreting correctly.

Lisa says: Your HHA, PTA and OTA visits are billable and should be included on your claim. Completing the OASIS DC is a separate issue. The last qualified clinician who saw the patient has to complete the OASIS based on information obtained at that last visit. But remember that the M0090 date is still the date the assessment was completed which is after the other billable visits were provided.