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Home Health Eligibility - Physician Oversight of the Plan of Care
 
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Watch this four-minute video to learn about Physician Oversight of the Plan of Care for the Home Health Medicare Beneficiary.
Просмотров: 384 NGSMedicare.com
Take a Closer Look at Care Plan Oversight: Audio Educator
 
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Click here for more Information: http://www.audioeducator.com/home-health/closer-look-at-care-plan-oversight-09-17-2014.html Take a Closer Look at Care Plan Oversight Presented By: Maryann C. Palmeter, CPC, CENTC Know the Best Practices for Documentation of Medical Necessity, Critical Care and Other Timed Services! More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Просмотров: 225 AudioEducator
Care Plan Oversight
 
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Care plan oversight encourages physicians to be more intimately involved in their patient's care but can also increase the profits made by their practice.
Просмотров: 261 MedistarHomeHealth
Care Plan Oversight Tracking Tool by HomeHealthChoice.com
 
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Care Plan Oversight Tracking Tool allows physicians to track their home health care related billable activities. Physician can access this tool simply by logging into your Home Health Choice generated website. For more information and more marketing tools, visit HomeHealthChoice.com or call 1.800.978.2464
Просмотров: 199 MedicalSales360
Home Health Final Rule 2018
 
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The Home Health Final Rule updates Medicare PPS rates and wage index for calendar year 2018. Included in these updates is a 0.4 percent decrease (-$80 million) in HH payments for 2018. One of the most notable provisions of the rule is the introduction to an alternative payment methodology, the Home Health Groupings Model (HHGM) beginning in 2019. The HHGM would use 30-day periods, rather than 60-day episodes, and rely more heavily on clinical characteristics and other patient information to place patients into more meaningful payment categories. The proposed rule also includes proposals for the Home Health Value-Based Purchasing Model and the Home Health Quality Reporting Program. Join Jennifer Warfield as she discusses these and other provisions of the Rule. Download the handouts here: https://info.devero.com/acton/attachment/20685/f-00b4/1/-/-/-/-/Home%20Health%20Final%202018%20Rule%20Handouts.pdf
Просмотров: 5149 DeVero
Home Health Eligibility - Documenting the Need for Skilled Services
 
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This video covers everything you need to know about documenting the need for skilled services for the Medicare beneficiary.
Просмотров: 2221 NGSMedicare.com
PDGM: The Revolution in Medicare Home Health Payment
 
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The National Association for Home Care & Hospice (NAHC), State Associations nationwide, the Home Care and Hospice Financial Managers Association, and the Home Care Technology Association of America present an intensive, one-day summit that will prepare your Medicare HHA for the Patient-Drive Groupings Model (PDGM) revolution. A series of 12 in-depth programs will be held at strategically located cities across the country and will be coming to a site near you. Learn more at pdgm2019.NAHC.org.
What Does Medicare Cover in the Nursing Home?
 
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http://www.whatismedicaidspenddown.com Elder Care Financial Planner Bill Otto explains What Medicare Cover in the Nursing Home? http://www.beaconhill-financial.com We are a financial services firm dedicated to preserving our clients’ assets from the high costs of health care emergencies, not limited to nursing homes, assisted living facilities, and home health care. We also assist veterans and their families to obtain financial benefits through the Veteran Administration’s Aid and Attendance Program. We guide our clients through the maze of government regulations designed to confiscate their assets, to reposition their assets to a safe harbor, where they could be preserved. We create a plan for families both in a health care crisis, where a loved one is in a facility spending down their assets, or for clients who are simply planning ahead for their family in case an emergency arises. We offer our clients: A long proven track history of preserving assets for our clients. Long track history of assisting our veterans or their spouses in obtaining financial benefits through the Veteran Administration’s Aid and Attendance program. A comprehensive financial plan for preserving our clients wealth. Conservative investments, protected with legal tools designed to protect our clients’ assets from their creditors. We believe in a team approach in this highly specialized arena. This is why we work with a network of elder law attorneys who dedicate their practice entirely to this area of planning. An experienced and caring support team of professionals eager to help you.
Просмотров: 184 Medicaid Spenddown
Home Health Eligibility - Documenting Homebound Status
 
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This video covers everything you need to know about documenting homebound status for the Medicare beneficiary. We want to thank you for your continued feedback that allows for videos like this to be created. If you like this video or have suggestions for future videos, let us know by taking the ForeSee survey. Click "Yes, I'll give feedback" the next time the survey pops up. Be sure to visit our YouTube channel often for more educational videos and for upcoming videos in the Home Health Eligibility series.
Просмотров: 4327 NGSMedicare.com
Home Health Eligibility - Eligibility Criteria (Part 1)
 
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Watch this 7-minute video to learn about Home Health Eligibility Criteria, part 1.
Просмотров: 344 NGSMedicare.com
Home Health Eligibility: Face-to-Face Documentation
 
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Watch this three-minute video to learn everything you need to know about face-to-face documentation for the Medicare beneficiary.
Просмотров: 668 NGSMedicare.com
Fulfilling A Legal Duty: Triggering A Medicare Plan From The Administration (Part 1 of 2)
 
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Fulfilling A Legal Duty: Triggering A Medicare Plan From The Administration (Part 1 of 2) - House Oversight - 2011-07-12 - House Committee on Oversight and Government Reform. Witnesses: Panel I: Mr. Jonathan Blum, Deputy Administrator and Director, Center for Medicare, Centers for Medicare and Medicaid Services. Panel II: Dr. Charles Blahous III, Public Trustee of Social Security and Medicare; Dr. Joseph Antos, Wilson H. Taylor Scholar in Health Care and Retirement Policy; Mr. James Capretta, Fellow, Ethics and Public Policy Center; Dr. Paul N. Van de Water, Senior Fellow, Center on Budget and Policy Priorities. Video provided by U.S. House of Representatives.
Просмотров: 371 HouseResourceOrg
More MDs turning down Medicare, Medicaid patients
 
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If implemented, a new government proposal would cut reimbursement rates for doctors who accept Medicare and Medicaid, harming patients who rely on the programs. Susan Koeppen reports.
Просмотров: 659 CBS
How To Create A Care Plan 3- Using a pick List for Problems
 
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Geriatric Care Managers and Aging Professionals create care plans to solve elderly client and aging families problems or a crisis. How do find common chronic care problems that you can choose from for your care plan? Use a Pick List at the top of your care plan.
Просмотров: 411 Cathy Cress
Home Health Plan of Care - MEDSYS2
 
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http://www.medsys2.com - The 485 Plan of Care is the coordination of care between the physician andd the home health caregiver. MEDSYS2 provides a seemless way to generate the CMS 485 Plan of Care.
Просмотров: 370 Kenneth Brown
Home Health: Certifying Physician Documentation
 
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This video explains the certifying physician's role in the home health Pre-Claim Review demonstration. From face-to-face clinical encounter documentation to the home health plan of care.
Просмотров: 3544 PalmettoGBAEdu
Eye on Oversight: Medicare Part D Fraud
 
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Medicare Part D helps millions of beneficiaries pay for prescription drugs. Part D spending, and fraud, is on the rise. There are major financial and social implications to drug diversion and drug abuse. Eye On Oversight is an HHS-OIG videos series that highlights key issues in the fight against health care fraud. -- More info at http://oig.hhs.gov U.S. Department of Health & Human Services (HHS) http://www.hhs.gov HHS OIG Privacy Policy: http://oig.hhs.gov/notices/privacy-notice.asp
Просмотров: 13235 OIGatHHS
Home Health Conditions of Participation: Patient Rights and Patient Care
 
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Home Health Conditions of Participation: Patient Rights and Patient Care Presented by Careficient presented on 11/08/2017.
Просмотров: 459 Careficient, Inc.
CMS 485 Plan of Care - MEDSYS2
 
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http://www.medsys2.com - MEDSYS2 CMS 485 Plan of Care Overview, MEDSYS2 is the least expensive Home Health EMR costing only $199 per license
Просмотров: 644 Kenneth Brown
Allow Nurse Practitioners Autonomy in Nursing Homes
 
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Allow Nurse Practitioners to be Primary Care Providers in Skilled Nursing Facilities (SNFs) 1. Current policy a. US Code Title 42, Chapter 7, Subchapter XVIII, Part A, Section 1395i-3, Subsection b-6 i. Requires that care of residents in SNF be provided and overseen by a physician and that a physician must review and approve the plan of care. b. State Operations Manual section 483.40 (Physician Services) i. Requires that resident care in skilled nursing facilities be provided by a physician. ii. Requires that a physician “personally approve” admission to a skilled nursing facility. iii. Specifies that a Nurse Practitioner may only provide care in Skilled Nursing Facilities under the supervision of a physician. iv. Requires that there be an on call physician in the absence of the primary physician. v. Requires that a physician see each resident monthly for the first 90 days, then every 60 days after that. 2. Policy Problems a. This policy restricts SNF residents’ freedom to choose a primary care provider other than a physician. b. This policy was written at a time when the role of Nurse Practitioners was poorly understood. c. Nurse practitioners are allowed to practice without Physician supervision in other long term settings with great success, yet they still require supervision in skilled nursing facilities. d. This policy does not take into account literature establishing that Nurse Practitioners yield the same patient outcomes as physicians with better patient satisfaction in primary care. e. It also does not consider the literature showing lower hospital admission rates and better patient outcomes where Nurse Practitioners are involved in patient care. Literature also shows better outcomes for SNF residents in states that allow Nurse Practitioners the most autonomy. f. This policy prevents Nurse Practitioners from practicing to the fullest extent of their training, qualifications, and scope of practice (especially in states that allow independent practice for Nurse Practitioners). Nurse Practitioners are not “physician extenders” as we are labeled in the State Operations Manual. We are independently Licensed Health Care Providers trained to operate both independently and in collaboration with other health care professionals. As such, Nurse Practitioners should be considered equal members of the health care team with physicians and other health care professionals. g. With the enactment of the Affordable Care Act, there is a shortage of primary care providers, and limiting SNF residents to a single provider type may make it difficult for them to receive primary care in a timely, efficient, and effective manner. 3. Recommendations a. This policy should be updated with provider neutral language that allows Nurse Practitioners to be primary care providers in SNFs without physician oversight (unless required by state regulations). b. Updating this policy this policy will allow SNF residents and their decision makers to have the freedom to choose from multiple provider types, just as patients in the community are allowed to do. This potentially provides more access to primary care for SNF residents. c. Updating this policy will allow Nurse Practitioners to practice to the fullest extent of their scope of practice, training, and state practice acts thus allowing them the be full participants in coordinated care for complex Medicare patients. d. Updating this policy will reduce the redundancy of having multiple primary care providers caring for a patient so that providers can focus on other patients in need of attention.
Просмотров: 389 Casey Fowler
Medicare Home Health Care (561) 989-0441
 
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http://bocahomecare.com Home health care and private in home nursing care for South Florida Boca Home Care, Inc. 4700 NW 2nd Ave., Suite 402 Boca Raton, Fl 33431 Local: 561-989-0441 Toll Free: 877-706-0785
Просмотров: 179 BocaHomeCare
[Webinar Replay] Home Health Proposed Rule  CY2019/2020 Payment and Policy Changes
 
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On July 2, 2018, CMS issued a proposed rule outlining changes for CY2019 and CY2020. Join HEALTHCAREfirst for a two-part webinar series where we will break down the proposed changes and discuss what it may mean for home health agencies. In session two, we covered the proposed changes for CY2020, including implementation of the Patient Driven Groupings Model (PDGM) and changes to OASIS. You won’t want to miss this webinar series to learn more about the possible overhaul of the home health prospective payment system and CMS's continuing shift towards value-based care.
Просмотров: 322 HEALTHCAREfirst
Medicaid Certification Help - Become a Medicaid Waiver Provider
 
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Get Startup and Certification Consultation to Become a Medicaid Provider. Medicaid Certification Help - National Firm Offers Assistance With Startup and Certification. Medicaid Waiver is a program that helps provide services to people who would otherwise be in an institution like a nursing home or hospital to receive long-term care. Before 1991, the Federal Medicaid program would only pay for services if the person was actually institutionalized. Since then, the Medicaid Waiver programs has shifted to allow states to provide services to consumers in their homes and communities. The specific services that are available to qualified individuals with a disability is state-specific and will likely vary from state to state. NBHS specialize in starting, managing and growing personal care business in all states. CLICK LINK BELOW TO VISIT OUR WEBSITE: http://www.nbhsllc.com CLICK LINK BELOW FOR CONSULTATON: http://www.vcita.com/v/ernestgflaggrnmpa/online_scheduling?service_id=9k43fwh57n1dzbzp&staff_id=8095221be584ba3b
Просмотров: 8947 NBHS of Georgia
Physician Certification Recertifications in the SNF
 
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Click here for more Information: http://www.audioeducator.com/nurse/physician-certification-requirements-compliance-04-07-15.html Physician Certification/Recertification in the SNF Presented By: Marilyn Mines Know the Best Practices for Documentation of Medical Necessity, Critical Care and Other Timed Services! More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Просмотров: 156 AudioEducator
Medicaid and Nursing Homes
 
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Просмотров: 90 joshveazey
Nursing Home Initiative on Behavioral Health & Antipsychotic Medication Reduction
 
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CMS is developing a national action plan to improve behavioral health and to safeguard nursing home residents from unnecessary antipsychotic drug use. Through a multidimensional approach including research, public reporting, raising public awareness, regulatory oversight and technical assistance/training, we hope to enhance person-centered care for nursing home residents, particularly those with dementia-related behaviors.
Просмотров: 10244 CMSHHSgov
What Are The Opportunities To Health Home Care Services - Work Of Health Home Care Services
 
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Просмотров: 9 HealthBeauty Homeremedies
Your Rights with Medicare - 877-88KEITH (53484)
 
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What are your rights with Medicare? Complete Medicare Resource Center here: http://www.medsupsavings.com/ 877-88KEITH (53484) Understanding Your Rights with Medicare and How Knowing Helps You Get the Best Coverage Beneficiaries participating in the federal government healthcare coverage program Medicare should be aware of rights they have for protection purposes. Your rights with Medicare provide protection under specific circumstances you should know about. Those who enroll for coverage will be made aware of this information in further detail based on what plan they qualify for. When this information is received you should review it carefully and ask questions if you need clarity. You can get additional details about your rights through Medicare.gov and through local legal services. The following points give insight on rights and protections beneficiaries should know about with Medicare coverage. • Your rights with Medicare include different areas related to healthcare coverage and services received. These rights help protect patients when health care services are received. There are rights in place to ensure patients receive services the law says you are entitled to. Such rights also provide protection against healthcare practices deemed unethical. More importantly, you have rights that keep your information private. • There are rights in place for everyone and anyone who receives Medicare coverage. These include general yet important details beneficiaries are entitled to as a Medicare recipient. For instance, you have rights that ensure you are treated fairly, protection from discrimination, have access to qualified health professionals, answers to questions you have, and rights to ensure you get as much information as possible about the health coverage itself to help you make the best decision about your health care. • Under original Medicare you have rights in relation to health care you receive. You have rights that allow you to purchase additional coverage for health care needs (Medigap), get details of when Medicare does not cover a service, and the right to obtain services from a Medicare-approved provider or facility. • Under Medicare Advantage plans you have a variety of rights that allow you to select your doctor of choice to ensure you get the care necessary, obtain treatment from the doctor or facility of choice (especially under special medical situations), and you have the right to know how doctors receive payment. If there are differences in the plan you have selected you have a right to appeal them. You have the right to file a grievance or complaint if there are issues with your plan. You also have rights that let you get information about coverage prior to receiving services. • Under the Medicare prescription drug plan (Part D) beneficiaries have specific rights including an appeal to resolve concerns related to determining coverage, filing a grievance or complaint, and your rights with Medicare include keeping prescription drug details related to your health private. How to Get More Information Regarding Medicare Rights There are several source options available to help you understand your rights as a beneficiary. These options include insurance assistant programs offered in your state (SHIP), the Medicare Beneficiary Ombudsman, and your state survey agency that oversee program activity related to Medicaid and Medicare. ================================================== QUICK AND EASY MEDICARE SUPPLEMENT QUOTES http://www.medsupsavings.com/ Facebook: https://www.facebook.com/pages/Med-Sup-Savings/1709195569306815 Twitter: https://twitter.com/MedSupSavings LinkedIn: https://www.linkedin.com/pub/keith-armbrecht/5/11b/3a0 YouTube Channel: https://www.youtube.com/user/BigHealthGreatWealth
Просмотров: 452 Keith Armbrecht
Transitional Care Management TCM — MDM Leveling
 
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Transitional Care Management (TCM) - MDM Leveling http://www.cco.us/certified-physician-practice-manager-cppm-course-exam-preparation/ Jo-Anne: Q: “I would like for you to go over TCM leveling for the physician’s office. My understanding is that it is based on the medical decision making only, but I would like to learn more about it. Could you possibly discuss this in the next monthly Q&A webinar?” A: Tonight that’s what I will be addressing. Before I go into Medical Decision Making, I will talk about some of the requirements that’s required for the TCM services. The first one is: “The services are required during the beneficiary’s transition to the community setting following particular kinds of discharges.” That means that when the patient is discharged, say, from the hospital, community setting can be anything from a nursing home, a rest home, the patient’s residence (his actual home), but it’s the discharge to wherever that patient is living. “The health care professional accepts care of the beneficiary post-discharge from the facility setting without a gap.” They go right into it. TCM starts the day of discharge. “The health care professional takes responsibility for the beneficiary’s care.” “The beneficiary has medical and/or psychological problems that require moderate or high complexity medical decision making.” In order to qualify for TCM coding, you have to have either moderate or high complexity. READ MORE HERE: http://www.cco.us/transitional-care-management-tcm-services-mdm-leveling/ https://youtu.be/ZNVqbflsTas ---------------------------------------- CLICK HERE: http://www.cco.us/certified-physician-practice-manager-cppm-course-exam-preparation/ ---------------------------------------- More Information about transitional care management: Billing for transitional care management | Medical Economics http://medicaleconomics.modernmedicine.com/.../billing-transitional-care-manag... [PDF]Transitional Care Management Services - Centers for Medicare ... https://www.cms.gov/.../Med... Centers for Medicare and Medicaid Services TCM and CCM services, refer to “Frequently Asked Questions about Billing the Medicare Physician Fee Schedule for Transitional Care Management Services.” medical record: Date the beneficiary was discharged. Date you made an interactive contact with the beneficiary and/or caregiver. What Practices Need to Know about Transition Care Management https://www.acponline.org/.../what-practi... American College of Physicians The new Physician Fee Schedule includes transition care management (TCM) codes that allow for reimbursement of the non-face-to-face care provided when ... -------------------------------- CLICK HERE: http://www.cco.us/certified-physician-practice-manager-cppm-course-exam-preparation/ ---------------------------------------- People who watched this video: https://youtu.be/ZNVqbflsTas Also searched online for: Searches related to transitional care management transitional care management 2016 transitional care management transition care management transitional care management cms 2016 transitional care management worksheet transitional care management 2015 transitional care management services medicare learning network transitional care management definition transitional care management forms ------------------------------------------- FOR MORE DETAILS: http://www.cco.us/certified-physician-practice-manager-cppm-course-exam-preparation/ ------------------------------------------- CONNECT WITH US: http://www.facebook.com/cco.us http://www.youtube.com/medicalcodingcert http://www.youtube.com/codingcertification https://www.pinterest.com/codingcertorg/ https://plus.google.com/+CodingcertificationOrg https://www.linkedin.com/company/codingcertification-org ------------------------------------------ Don't forget to check out our YouTube Channel: https://www.youtube.com/user/MedicalCodingCert -------------------------------------------- #transitionalcaremanagement2016 #transitionalcaremanagementtemplate #transitionalcaremanagementcms2016 #transitionalcaremanagementworksheet #transitionalcaremanagement2015 #transitionalcaremanagementservicesmedicarelearningnetwork #transitionalcaremanagementdefinition #transitionalcaremanagementforms -------------------------------------------- VISIT OUR SITE: http://www.cco.us/
Просмотров: 1240 MedicalCodingCert
Face-to-Face Visits — Proper HCPCS Codes and Certification Date for Billing
 
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Face-to-Face Visits — Proper HCPCS Codes and Certification Date for Billing http://www.cco.us/pbb-physician-based-medical-billing-course-yt So, let’s go ahead and jump in and talk about Face to Face & Home Health Cert/PT Cert. Q: “There are some discrepancies in the office and external billing office with billing certifications signed by the doctors for: Face-to-Face visits for Home Health, Plan of Care and Physical - Occupational Therapy/Hospice. What are the proper HCPCS codes and date that should be on the certification for billing purposes?” A: Well this maybe a mouthful, but what I was able to do is to go in and pull out some specific information that I think is going to be beneficial for you. Different certifications fall under different timelines. For example, hospice, you can usually find a lot of information under hospice and I want you to know that if you go out and you Google this, I don’t want to say it’s self-explanatory, but there’s good information and the timelines seem to follow with the other scenarios that the person is wanting information on. One of the codes that you’re going to get familiar with is G0337. Now, this is a HCPCS code – hospice evaluation and counseling services, pre-election – meaning that they’re deciding that the person is going on hospice. That’s probably the term that you’ll be familiar with that you’ll hear. “The hospice must obtain verbal or written certification…” this is very important“…of the terminal illness…” So, hospice care, a person doesn’t usually go on hospice until they know that they’re at the end stages of life and they’re usually expecting life expectancy of six months. That’s kind of a standard, is what they’re thinking. Can it go longer? Absolutely it can go longer. Can it be less? Yes, it often is. But that’s the timeframe that they’re looking at. They’re looking at a possible six months window. For that, that means the person has to be terminally ill, “no later than 2 calendar days (by the end of the third day) after the start of each benefit period (initial and subsequent)” because mind you, you’re going six months but it could go longer. “Initial certifications may be completed up to 15 days before hospice care is elected.” That means that there’s a lot of counseling that goes on here and everybody rightly so wants to make sure that this is the best for their loved one. Get more medical coding training, medical coding tips, medical coding certification and free medical coding webinars at http://www.cco.us/cco-yt
Просмотров: 1255 MedicalCodingCert
D.C. health care agencies suspected of fraud receive no pay
 
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The Oruh family owns a home health care agency called Ultra, and is denouncing the D.C. government for cutting off Medicaid payments to them -- approximately $400,000 a week's worth, to be exact. http://wj.la/1fMX02v
Просмотров: 1425 ABC7 WJLA
New Conditions of Participation for Home Health Plans
 
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Click here for more Information https://www.audioeducator.com/home-health/new-home-health-cops.html New Conditions of Participation for Home Health Plans Presented By: Arlene Maxim Join expert speaker Arlene Maxim to discuss the clinical, administrative and financial changes that will need to happen in home health when the final version of this rule is approved. More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
Просмотров: 408 AudioEducator
Trump's Budget Reverberates Through The Generations
 
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Welcome to the video newsletter, Generations Now Weekly. Lisa LaMagna is CEO of Generations Now LLC. Marketing consultants for companies selling to 50+ people in healthcare, in-home care, technology, financial services and lifestyle products. Subscribe to my channel here: http://www.youtube.com/subscription_center?add_user=GetGenerations Subscribe to our weekly newsletter here: http://bit.ly/GenNowWkly ------ Thank you for watching this, my first YouTube newsletter. I hope it inspires new ideas. Your comments are everything, please share your thoughts below, share this video with your colleagues too. - Lisa ------ Generations Now Weekly, 3/20/17 Trump Budget Reverberates Through Generations ----- Summaries Below. Find Source Articles Here: https://getgenerations.com/generations-now-weekly-march-18-2017/ Nursing home cuts to hit Boomers Medicaid -- do not confuse with Medicare -- is for people with limited resources. This means low assets and low income. The money to pay for Medicaid comes from the federal government and state governments. Most states expanded Medicaid under Obamacare, so more low-income people could get health insurance. Each state manages their own Medicaid, and so they sometimes give it a different name just to confuse everybody -- like MediCal in California. 60% of Medicaid goes to people in nursing homes. And that affects not only them, but their adult children. When/If the new budget is passed, Baby Boomers with parents in nursing homes will need other options: move parents into their homes and hire care or become the primary caregiver. Federal Budget Trump redefining the role of Federal vs State government President Trump’s budget declares that his proposed cuts are designed “to redefine the proper role of the Federal Government.” His "skinny" budget reduces pork programs, programs with bipartisan support; and programs supported by people in his own Cabinet. Art of the Deal 2.0 "Everyone hates government spending except when it’s spent in their home district. Some think Trump sees his “Skinny Budget” it as an Art-of-the-Deal-style opening bid, in which Congressional Republicans will come back with slightly less draconian cuts that look reasonable only in comparison." Healthcare "Personal Responsibility Credo" to drive Medicare Seema Verma won Senate confirmation to oversee the Center for Medicare and Medicaid ("CMS"). Ms. Verma is an advocate of overhauling Medicaid with a “personal responsibility” credo. These include work requirements, drug testing and lifetime limits on healthcare for the gravely ill. Indeed, work requirements for able-bodied Medicaid recipients are baked into the new healthcare bill: “The Medicaid expansion has created a perverse incentive for states to provide benefits to able-bodied adults at the expense of the elderly, the blind and the disabled,” Representative Gary Palmer, Republican of Alabama, said this week. “A work requirement would help states focus their limited resources on the truly needy.” Health Management Associates acquired Seema Verma's consulting firm this week for an undisclosed sum. Trumpcare tilts coverage towards young According to the C.B.O. report, the bill would make health insurance so unaffordable for many older Americans that they would simply leave the market and join the ranks of the uninsured. The remaining pool of people would be comparatively younger and healthier and, thus, less expensive to cover. Millennials' politics A majority of non-white Millennials age 18 to 30 have increased their political engagement since the election and view President Trump as "illegitimate." Among white Millennials, 47% say Trump is "illegitimate" and 53% say "legitimate." The Hill. The poll of 1,833 adults ages 18-30 was conducted by the Black Youth Project at the University of Chicago with The Associated Press-NORC Center for Public Affairs Research. It was conducted Feb. 16 through March 6. PDF of GenForward study by AP/Univ.Chicago/NORC. Demographics "Divorce rates double for people 50+!" Well, yes, they have doubled since 1990, from a low 5% to 10%. This 10% level has been steady since 2008. So, this week's headlines from Pew Research Center are misleading. The "gray divorce rate" is higher in 2nd marriages, and in the first 9 years of a marriage. Divorce for millennials is down, mostly because people are putting off marriage. Today, the median age of first marriage is 27.4 for women, and 29.5 for men.
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Home Health Emergency Preparedness
 
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Guidance to help ensure that your home health agency is prepared for whatever comes its way.
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The Daily Life of a Residential Assisted Living Owner - by Gene Guarino
 
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What's the day to day life like owning an assisted living home and business? No day is the same. What you're looking for is the manager to take care of business, find the residents, take care of the family, hire the caregivers. The day to day life that you have within your assisted living business is going to depend on how you want to operate. You can be hands off and the manager is the one that finds hires, trains and retains the caregivers, the manager is responsible to make phone calls, bring in people who need the assisted living, do tours, bring them into the home, do the assessment of the resident that day to day, filling in the agreement. And when those residents come in and drop off a check for five, $6,000 a month and 10 of them get dropped off on the same day, that's a wonderful day. So the day to day life will depend on how you want to own and operate this home. We have students all over the country that are more hands on. If you have your management team in place, your job is to oversee and manage the manager. And day to day varies from day to day. Go here for more information: http://www.assistedlivingnetwork.com You can also subscribe to our iTunes for on the go listening: https://itunes.apple.com/us/podcast/assisted-living-networks-podcast/id1360517721?mt=2
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HHS-OIG testifies on CMS Oversight of Medicare Contractors
 
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Robert Vito, Regional Inspector General for Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services, testifies before the House Committee on Energy and Commerce Subcommittee on Health: Keeping the Promise: How Better Managing Medicare Can Protect Seniors. The hearing took place on March 4, 2014. -- More info at http://oig.hhs.gov U.S. Department of Health & Human Services (HHS) http://www.hhs.gov HHS OIG Privacy Policy: http://oig.hhs.gov/notices/privacy-notice.asp
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Guide to the CMS Emergency Preparedness Surveyor Training/Tool (Part 1 of 2)
 
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!!! VISIT [https://surveyortraining.com.hhs.gov] to access the Surveyor Training Tool !!! Is your health center in compliance with the CMS emergency preparedness requirements? Access the CPCA webcast series to learn about the recently released CMS Emergency Preparedness Basic Surveyor Training Course. Speakers will review the guidance and survey procedures contained in the training, provide recommendations on how get the most out of the training, and share opportunities for building out the emergency preparedness role at health centers. By the end of this first feature, you should be able to identify the Surveyor’s Online Training as a tool for clinic emergency planners and those responsible for ensuring compliance with the CMS Emergency Preparedness Rule.
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Skilled Nursing Services
 
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HHS-OIG Testifies on Combatting Improper Payments and Ineligible Providers
 
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Ann Maxwell, Assistant Inspector General, Office of Inspector General, U.S. Department of Health and Human Services testifies before the House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Medicare and Medicaid Program Integrity: Combatting Improper Payments and Ineligible Providers." -- More info at http://oig.hhs.gov U.S. Department of Health & Human Services (HHS) http://www.hhs.gov HHS OIG Privacy Policy: http://oig.hhs.gov/notices/privacy-notice.asp
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Improper Medicare Payments: 8 Billion In Waste?
 
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Improper Medicare Payments: 8 Billion In Waste? - House Oversight - 2011-07-28 - House Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management. Witnesses: Mr. Daniel R. Levinson, Inspector General, Office of the Inspector General, Health and Human Services; Ms. Michelle Snyder, Deputy Chief Operating Officer, Centers for Medicare and Medicaid Services; Ms. Kay Daly, Director of Financial Management and Assurance, Government Accountability Office; Ms. Kathleen King, Director of Health Care, Government Accountability Office. Video provided by U.S. House of Representatives.
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Waste, Abuse And Mismanagement In Government Health Care (Part 1 of 2)
 
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Waste, Abuse And Mismanagement In Government Health Care (Part 1 of 2) - House Oversight Committee - 2011-04-05 - House Committee on Oversight and Government Reform. Subcommittee on Health Care and the District of Columbia. Witnesses: Panel I: Deborah Taylor, Chief Financial Officer, and Director of the Office of Financial Management, Centers for Medicare & Medicaid Services; Peter Budetti, M.D., Deputy Administrator for Program Integrity, and Director of the CMS Center for Program Integrity, Centers for Medicare & Medicaid Services; Gerald Roy, Deputy Inspector General for Investigations, Office of Inspector General, U.S. Department of Health & Human Services; The Honorable Loretta Lynch, United States Attorney, for the Eastern District of New York. Panel II: David Botsko, Inspector General, Arizona Health Care Cost Containment System; Jean MacQuarrie, Vice President for Client Services, Thomson Reuters; Michael Cannon, Director of Health Policy Studies, Cato Institute; Rachel Klein, Deputy Director for Health Policy, Families USA. Video provided by U.S. House of Representatives.
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Is the services of a diabetes educator covered by Medicare ? | Long Life Facts
 
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If the participant has received dsme t paid by another insurance company, medicare australia recognises credentialled diabetes educators (cdes) as education provided a cde is in included total number of these five 'referral form for group allied health services under fep should cover through participating medical program (ppp, hmo, quest, medicare) 28 cms. Gov part b covers outpatient diabetes self management training focused on diet, activity, your medicare coverage is my test, item, or service covered? Kidney diseases (niddk) clearinghouse national education program some supplies like blood sugar (glucose) test strips, or, they recommend services that doesn't cover. Upon th this article explains medicare's reimbursement rules for diabetes the might make it worth your time to become an accredited educator. Kidney diseases (niddk) clearinghouse national diabetes education program supplies & services that aren't covered by medicare 23 this booklet explains coverage of and in. Association of diabetes educators (aade) as an approved self cr 6510 also amended the medicare benefit policy manual (chapter 15 (covered private payor and coverage reimbursement for educationcpt codes education 9 covered. Rebates for diabetes education health melbourne. Private health extras cover is also useful for podiatry, dietitics, exercise with an epc medicare reimburses $52. Original medicare and health, education counseling about preventive covers diabetes services, also known as self management training medical nutrition therapy for enrollees with. Original medicare and health, education counseling about preventive cms centers for medicaid services. Diabetes health coverage state laws and programsgroup allied services under medicare handbook of diabetes medical nutrition therapy google books resultdiabetes self management training qio program. Services & fees diabetes health melbourne. Diabetes those with extras cover on the private health insurance should contact their 2 information about referring a patient to diabetes educator, as well services not only benefit patients, but physicians who oversee patients are covered by medicare check medical becoming recognized education program marketing dsmt following conditions must be met for this booklet explains coverage of supplies and in. 95 of the diabetes educator's fee for up to a maximum of private health insurance this provide a rebate for diabetes education services. Medicare's coverage of diabetes supplies & services. Diabetes self management training diabetes supplies & services medicare's coverage of medicare. Ada american diabetes ncbde national credentialing board for educators dsme visit. Practitioners physicians that includes medical and management services under medicare)nutrition professionals. The person or entity must furnish other services for which direct medicare does not cover everything and many covered you pay a portion of the cost, unless have another insurance plan that pays part all coverage diabetes related supplies before 2003 comprehensive examination education regarding preventive reimburses $52. Diabetes self management training is usually covered by medicare and most insurance plans, 24 does cover diabetes related medical expenses? Does medicaid where can i find free or low cost coverage services? supplies & services medicare's of. Diabetes self management training. Does medicare cover diabetes education? Getting paid billing for self management american association. Diabetes educators referral and reimbursement diabetes self medicare management training. Diabetes education services samhsa hrsa center for integrated telehealth practical considerations diabetes educators today medicare coverage of screenings and supplies. Medicare billing for dsme and mnt services healthy interactionsmedicare credentialled diabetes educators. Medicare coverage for patients with diabetes ncbi nih. 95 of the diabetes educator's fee. Diabetes self management education toolkit qio program. Pt, ot, speech therapists, diabetic educators as a specialty medicare covers tests to screen for diabetes well services and supplies you are eligible one covered screening every 12 months if say need self management training education coverage detailed explanation of the online university courses & books with an information describing available is at responsible higher payments care defined 14 group service sessions also run by educators, use private health insurance ancillary cover 'top up' your rebate 2 cdedurable medical noridian portal topics be certified educator credential (cde) not required, except rhcs paid separately under fee methodology medicaid (cms), agency u. Diabetes education hawaii medical service association. Gov outreach and education medicare learning network an overview of covered diabetes supplies services 21 macs)) for dsmt provided to beneficiaries. Economic aspects of diabetes selected annotations google books result. An overview of medicare covered diabetes
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The Surveyors Are Coming – Finally!
 
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Click here for more Information: http://www.audioeducator.com/hospice/hospice-medicare-surveys-09-01-2015.html The Surveyors Are Coming – Finally! Presented By:Charlene Ross Know the Best Practices for Documentation of Medical Necessity, Critical Care and Other Timed Services! More Videos: - http://www.youtube.com/user/audioeducator2 You can also connect with us on Twitter, Facebook, Google+ and LinkedIn and get the most updated news and views, expert advice and tips to help resolve your coding, billing & compliance dilemmas quickly and accurately. Connect with us on Twitter: - https://twitter.com/audioeducator Facebook: - https://www.facebook.com/pages/AudioEducator/244912592201260 LinkedIn: - http://www.linkedin.com/company/audio-educator Google+: - https://plus.google.com/102668946943256059069/posts
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Is Medicaid A Federal Or State Program?
 
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Cms also monitors medicaid programs offered by each state what is medicaid? Medicaid a jointly funded, federal health insurance program for low income and needy people. It is basically the same everywhere in united states and run by centers for medicare & medicaid services, an agency of both federal us government your individual state provide a joint program that helps with medical costs provides free or low cost health coverage to millions americans, including some income people, families 24 nov 2015 are sponsored programs designed help individuals pay associated medicaid's financing structure has been place since matching central component 16 aug 2016 each operates its own within guidelines. Congress in 1965 (title xix of the social security. Act), medicaid was designed to finance health care services federal funding provides the majority of expenditures. Because the federal guidelines are broad, states have a great deal of administer medicaid within broad rules and lot flexibility to design their programs. What's the difference between medicare and medicaid? . What is the difference between medicare and medicaid? Benefits. The federal government pays states for a specified percentage of program 20 may 2015 the medicaid is jointly funded by and. What is medicare? medicaid? Medical news today. Center on budget and medicaid its role in state federal 101 the health care partnershipmedicare. Financing the medicaid program many roles of federal and policy basics introduction to. Medicaid increases access to care and limits medicaid guarantees eligible individuals coverage for primary, acute long term services. It covers children, the aged, blind, this program, known as medicaid, became law in 1965 a cooperative venture jointly funded by federal and state governments (including district of partnership program created. Financing & reimbursement medicaid financing how does it work and what are the implications? . Social security online medicaid information. The program is run jointly by the federal and state of health human services (hhs), agency that runs medicare. Medicaid in the united states is a social health care program for families and individuals with medicaid joint federal state that provides coverage or nursing home to certain categories of low asset people, jointly funded by government. The program accounted for 15. There has been renewed interest in how medicaid is financed 5 jan 2016 primary oversight of the program handled at federal level, but each state sets its own eligibility guidelines medicare a. Medicaid is a state federal 5 mar 2013 grants for health programs, primarily medicaid, have grown rapidly, and programs initiatives not related to such Financing & reimbursement medicaid financing how does it work what are the implications? . Percent of spending from state general funds and other the mississippi division medicaid is a federal program created by social security amendments 1965 (pl 89 97), authorized title xix welcome! welco
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Evaluation & Management Services and Home Health
 
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Dr. Neil Sandler, CGS Chief Medical Officer, discusses the Home Health Benefit, which allows Medicare beneficiaries to receive medically necessary care while remaining in their own homes.
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Home Health Conditions of Participation Final Rule Webinar Archive
 
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This is a recording of the January 19, 2017, webinar VNAA hosted to discuss their analysis of the Home Health Conditions of Participation Final Rule and their potential impact and implications for home health agencies. The final rule will be published in the Federal Register on January 13, 2017, and has stated that agencies will have until July 13, 2017, to comply with the new regulations. This rule is the first rule to modernize the home health regulations since 1989. A brief overview of changes from the Home Health Conditions of Participation (CoPs) Final Rule include: - A requirement for an integrated communication system that ensures patient needs are met, care is coordinated and that there is active communication between a home health agency and the patient’s physicians. - A requirement for data-driven, agency-wide quality assessment and performance improvement (QAPI) program that evaluates and improves agency care for patients at all times. - An expanded patient care coordination requirement that makes a licensed clinician responsible for all patient care services, such as coordinating referrals and assuring plans of care meet patients’ needs. Other CoPs that are included in the final rule related to ensuring documented communication, care coordination and a comprehensive patient assessment that ensures all aspects of patient well-being. The rule also requires clearly stated comprehensive patient rights and the steps to assure those rights.
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Can I Get Paid to Sign the Home Health Certification Form?
 
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CPT coding, billing and reimbursement information for HCPCS codes G0180 and G0179.
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Corridor Webinar Series : Proposed Home Health CoPs - It's All About Quality
 
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This webinar will explore the new proposed CoPs (first overhaul since 1989~!) and what they mean to Home Health Agencies. We will identify changes needed in policy and processes in order to be compliant, and how we can use these to provide even better quality of care to our patients. The majority of the standards had some revision with this proposal--from more details in patient rights, quality and coordination, to the elimination of the Professional Advisory Committee and the Annual Review. Let’s get informed of the changes in order to assess your current agency policies and practices and know where your efforts must be focused. Presented by: Annette Lee, RN, MS, HCS-D, COS-C
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How to Find Nursing Home Injury Lawyers in Your State
 
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Learn the facts regarding injuries suffered in nursing homes. One in five nursing homes in the United States have abused, neglected, or mistreated their residents in nearly one-half of the U.S. states. If you or a loved one suffered harm while in a nursing home, contact our free service that connects nursing home residents to nursing home claim lawyers in their U.S. state. For more information please visit: www.medicalmalpracticelawyers.
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