Coastal Home Health Solutions, Home Health Care & Hospice Provider Consultanting of Florida

Home Health Care Provider Consulting Florida
Compliance & Risk Management - Chart Reviews - Medicare Appeals
Audit Response & Appeals - Reimbursement Consultation & Education
Phone:  561-628-6614      Fax:  561-914-8600

Coastal Home Health Solutions of Florida, Home Health Care & Hospice Medicare Appeals and Chart Reviews
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COASTAL HOME HEALTH SOLUTIONS

Coastal Home Health Solutions, Home Health Care and Hospice Provider Consultants of Florida
Home Health Care Consultants of Florida

Phone: 561-628-6614
Fax: 561-914-8600

HHC Consulting Services

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Clinical Management Strategy for Homecare Provider Publications

Stakeholders question whether physician templates can temper face-to-face documentation burdens

In February, CMS held its first in a series of special open door forums (SODF) to solicit stakeholder feedback about a pair of voluntary templates (one paper, one electronic) the agency has been developing to help physicians pen (or electronically plug in, as the case may be) more compliant face-to-face encounter documentation. CMS has succeeded in garnering ample input, though the cadence of this commentary suggests it may have fallen short in its attempts to alleviate administrative burdens for physicians and consequent threats to agencies’ reimbursement: The first two SODFs were rife with questions, criticisms, and sometimes at-odds suggestions for revising the standing templates.

Row says that AAHCM and other physician groups have been sending CMS targeted suggestions for simplifying the template and its EHR translatability. For example, she suggests arranging clinical items into drop down menus and including explanations of all setting-specific eligibility requirements.

Based on such feedback, CMS has already added a prominent box in the latest electronic and paper drafts that specifies Medicare’s criteria for homebound status— which often tops the list of face-to-face compliance issues due to insufficient justification for said status in physician documentation.

And this isn’t the only template revision CMS has made based on stakeholder input. For all the shortcomings experts see in the current drafts, some also acknowledge that the agency has made big strides since it rolled out the first iteration of the electronic template, which was a staggering six pages long.

“I looked at it, and I was almost crying,” says Nicola Kelly, RN, owner of Coastal Home Health Solutions in Palm Beach Gardens, Florida. Kelly says that after this shaky start, she’s been encouraged by CMS’ efforts to slim the template.

If CMS can manage to accommodate more of the needs voiced by stakeholders, Kelly believes the electronic template could become a useful tool to help home health agencies stay compliant, ward off audit slip-ups, and ultimately protect reimbursement by providing physicians with some much-needed direction.

“I think [the template can] help the physicians paint a clearer picture of the patient,” she explains. “Physicians like to be led into what they have to write, and that’s what it basically does.” She’s also a fan of CMS’ increasing use of check boxes on the template, recalling how the feature facilitated easy EHR documentation during her days as a hospital nurse.

Read complete article: April 2015 issue of Homecare DIRECTION, HCPro's Monthly Newsletter for Home Health and Hospice providers

Stakeholders question whether physician templates can temper face-to-face documentation burdens
Stakeholders question whether physician templates can temper face-to-face documentation burdens


To learn more about this publication please visit http://hcmarketplace.com/homecare-direction.

Home health agencies, physicians still face challenges after F2F narrative nixed

When CMS first announced its plans to do away with the physician narrative component of required face-to-face encounter documentation last July, many home health agencies met the news with cautious—or in some cases, unbridled—optimism. However, as 2015 dawned, and providers launched new efforts to secure sufficient evidence of patients’ home health eligibility without the framework (however limited) the narrative provided, this hopefulness gave way to confusion and frustration.

“Everyone’s in a panic,” says Nicola Kelly, RN, owner of Coastal Home Health Solutions in Palm Beach Gardens, Florida. “They just don’t know exactly what’s expected. A lot of people have latched on to this thing that now there’s no longer a narrative ... and they were delighted about that until they realized now [CMS is] going to be looking at the physician’s progress and clinical note to have all that information.”

Providers and their advocates list an array of obstacles to this new means of eligibility justification, including scanty guidance from CMS and poor compliance by physicians due to their own confusion and cramped schedules. Such tensions continue to mount as a new wave of reimbursement decisions—and potential denials—based on the first round of claims filed under the new requirements looms closer: Kelly thinks providers may begin seeing the financial outcomes of their latest documentation efforts as early as March or April, depending on the lengths of their patients’ episodes.

Read complete article: March 2015 issue of Homecare DIRECTION, HCPro's Monthly Newsletter for Home Health and Hospice providers


Home health agencies, physicians still face challenges after F2F narrative nixed


To learn more about this publication please visit http://hcmarketplace.com/homecare-direction.

Love the coast and dig solutions, but the first wealth is health

News for Old Age, Elder Care Published July 21, 2014 by by MIKE TEO 

"Coastalhomehealthsolutions.com is a consulting firm indigenous to Florida, that provides assistance to Home Health Care (HHC) facilities. They do a nice job ‘translating’ some HHC support services delivered by the registered nurses (RN) who founded the above, to plain English. I’ll try to break it down to you myself, in the next articles:

Medicare appeals
ADR Response Preparation
Medical Chart Reviews
Reimbursement Consultation
DDE Appeals
Compliance and Risk Management
Chart Audit Preparation
RACs, MACs and ZPIC Audit & Appeals Management.

Those of you out there, supplying the much needed HHC to elderly in Florida (thank you!) need all the support you can get. So maybe this is your solution."

Read complete article: Love the coast and dig solutions, but the first wealth is health

To learn more about this publication please visit http://newsforold.com