Archive for January, 2012

January 30, 2012

ICD-10 training in Vegas!

Come to my ICD-10 training in Las Vegas on March 5-6 ..

More details to come!

January 26, 2012

Watch for Palmetto and other probe edits … We can help!

Probe edits are underway from Palmetto with other MACs joining in soon. It is important to follow instructions from your MAC and respond with complete copies of charts.

Selman-Holman & Associates, LLC has been assisting clients with this process for many years and we have been heavily involved in responding to the new round of ADRs and probe edits. Your agency is at greater risk if you 1) have a long length of stay (LOS); 2)  have Medicare beneficiaries under the age of 65; and 3) have frequencies of 1w9.

Call us for assistance if you receive a probe notification letter or ADRs. We have an expert team of home health care documentation and coverage experts standing by!

Message from Palmetto:

From: Jurisdiction 11 Home Health and Hospice

Alert: Medical Additional Documentation Requests (ADRs)

Palmetto GBA recently changed the process for mailing medical Additional Documentation Requests (ADRs).  Previously, medical ADRs were mailed in yellow envelopes. ADRs are now mailed in white Palmetto GBA envelopes. It is possible that a provider may receive an ADR request prior to receiving their probe notification letter.

If you receive an ADR, it is important that you respond promptly.

January 25, 2012

RAC focus revealed in quarterly newsletter

This recent release by CMS does NOT include home health data, but it does give an idea of what disease systems they see troubles with, as well as what they are looking at in other provider areas.

I’ll link you to the archive of the agency’s quarterly compliance newsletter so you can review all of them, if you like.

January 23, 2012

Learning about diabetes … or not

Some recent studies show that web-based tools are not effective in diabetes management. The good news, however, is that CMS still has brochures and other information to help patients, whether they have diabetes or not, learn about services.



January 19, 2012

Education: Health care transition programs

We all know that health care coordination has been a buzz phrase for a few years. AHRQ recently released some coordination stories. This trend is something we should all keep up on … and take every idea when can get from it.

See the AHRQ posts here.