If you are unable to see the message below,
click here to view.
|
| The Challenges and Best Practices for Strong Documentation Industry expert Joe Osentoski, Troy, Mich.-based reimbursement recovery and appeals director at Quality In Real Time (QIRT), answered a few quick questions on documentation and why it is so crucial in home health. He will be taking a deeper dive into documentation and avoiding claims denials during his session at the Home Health Payment Summit. Register at decisionhealth.com/hhpaymentsummit. Q: What makes documentation so important in home health? A: Since home health is provided in so many locations, the documentation of the visit is the pillar that supports that the payer got value for its money, that the patient received skilled, reasonable and necessary services, and verifies for anyone looking at the record later that these visits occurred. Q: What are one or two common pitfalls when it comes to creating acceptable home health documentation? A: First is that the chosen Electronic Medical Record (EMR) charting system is followed without adding further details or description. The second is that a lack of knowledge of what should be documented, or does not need to be documented, clutters the record so that the key points that show compliance are obscured. CMS addresses this when they state that "longitudinal charting" should be performed by the provider. Q: What is one lesson learned that agencies should keep in mind when it comes to documentation? A: Getting it right at time of service is the key: trying to amend or clarify a record later takes much more effort than getting it right the first time. Q: What are one or two things clinicians can do to improve documentation? A: Know, even in a simplified format, what the payer expects to be recorded in the record. This can be knowledge of Medicare's regulations, private insurance requirements and any requirements specific to the Medicare Administrative Contractor (MAC). Then apply what is required within the framework of the available charting system. Go beyond simply checking off boxes. Q: What should agencies keep in mind about documentation when it comes to the Patient-Driven Groupings Model (PDGM)? A: While the current focus is (rightly) on the change the payment model, keep in mind that the Medicare eligibility and coverage requirements remain the same. For payment to be made, the charting must show how the patient was homebound and in need of skilled, reasonable and necessary care. Compliant charting should be paid, whether under Prospective Payment System (PPS) or the pending PDGM. | | __________________________________________________________________________________ VISIT OUR NEW HOME HEALTH PDGM RESOURCE CENTER FOR ADDITIONAL RESOURCES ABOUT PDGM! __________________________________________________________________________________ |
|
| | | customer@simplifycompliance.com | 885-CALL-DH1 store.decisionhealth.com | Privacy Policy Copyright © 2019 DecisionHealth®, a division of Simplify Compliance LLC. All rights reserved 100 Winners Circle, Suite 300 Brentwood, TN 37027
You are receiving this message at newsletter@newslettercollector.com as a benefit from DecisionHealth. If you prefer not to receive messages like this in the future, click here to remove yourself from this list or change your email preferences. Your request will be processed within 10 days, as required by law. You may receive additional promotions within that time. | | |
|