The Home Health Guide to Medicare Service Delivery, 2017 Edition

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ISBN 13 : 9781683081807
Total Pages : 360 pages
Book Rating : 4.0/5 (818 download)

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Book Synopsis The Home Health Guide to Medicare Service Delivery, 2017 Edition by : J'Non Griffin

Download or read book The Home Health Guide to Medicare Service Delivery, 2017 Edition written by J'Non Griffin and published by . This book was released on 2017-03-30 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Home Health Guide to Medicare Service Delivery, 2017 Edition J'non Griffin, RN, MHA, WCC, HCS-D, COS-C, HCS-H Updated to reflect the 2017 home health PPS final rule, new Conditions of Participation (CoP), and OASIS-C2, The Home Health Guide to Medicare Service Delivery, 2017 Edition, offers a one-stop solution for home health professionals that are looking for answers to their Medicare compliance questions. This book also enables agencies to ensure services are delivered according to current Medicare regulations and helps staff understand how to produce patient care documentation that supports compliance and proper payment claims. This manual provides: Quick access to concise, up-to-date CMS regulations, including new CoPs and interpretive analyses A go-to resource for anyone in the home health agency, useful for orientation, training, and reference when stumped by a regulatory or operational question An overview of the home health PPS final rule, featuring complete interpretation and compliance guidelines on all PPS regulations "Nuts and bolts" education--this book takes the most complicated aspects of Medicare healthcare services and explains them in an easy-to-understand way What's New? Updated regulations include: The 2017 home health PPS final rule Payment rebasing Home health quality changes Coding changes Changes in methodology used to calculate outlier payments (episodes of care with unusual variations in the type or amount of medically necessary care) Changes in payment for negative pressure wound therapy performed using a disposable device for patients under a home health plan of care Additions and modifications to the home health value-based purchasing model Table of Contents The Basics of Medicare Service Delivery: Presents the fundamentals of Medicare coverage criteria and the new Conditions of Participation. This includes a section dedicated to survey preparation. The Prospective Payment System (PPS): Gives an overview of critical concepts, including the Home Health Resource Group, consolidated billing requirements, and clinical issues with an impact on billing for the current payment system. All About the OASIS: Discusses the fundamentals of the OASIS-C2 and assessments. Compliance and Care Delivery: Highlights issues related to visits, physician orders, start of care, recertification, and discharge. Documentation Essentials: Looks at documentation fundamentals, the clinical record, diagnoses, and the plan of care. This includes a section related to the 485 and elements of content.

The Home Health Guide to Medicare Service Delivery, 2016 Edition

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ISBN 13 : 9781556458934
Total Pages : 0 pages
Book Rating : 4.4/5 (589 download)

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Book Synopsis The Home Health Guide to Medicare Service Delivery, 2016 Edition by : Annette Lee

Download or read book The Home Health Guide to Medicare Service Delivery, 2016 Edition written by Annette Lee and published by . This book was released on 2016-02-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Home Health Guide to Medicare Service Delivery, 2016 Edition Annette Lee, RN, MS, HCS-D, COS-C Updated to reflect the 2016 home health PPS final rule, and with a fresh format, The Home Health Guide to Medicare Service Delivery, 2016 Edition, offers a one-stop solution for home health professionals looking for answers to their Medicare compliance questions. This book also enables agencies to ensure services are delivered according to current Medicare regulations and helps staff understand how to produce patient care documentation that supports compliance and proper payment. The new format includes a sleeker, cleaner style for easier reference. This manual provides: Quick access to concise, up-to-date CMS regulations and interpretive analyses A go-to resource for anyone in the home health agency, useful for orientation, training, and reference when stumped by a regulatory or operational question An overview of the home health PPS final rule, featuring complete interpretation and compliance guidelines on all PPS regulations An overview of CMS' proposed Conditions of Participation and what they could mean for home health in the future A comprehensive index with frequently consulted sections presented in boldface type for easy use "Nuts and bolts" education--this book takes the most complicated aspects of Medicare healthcare services and explains them in an easy-to-understand way All up-to-date regulatory changes with a focus on the home health PPS final rule. Contents The Basics of Medicare Service Delivery: Presents the fundamentals of Medicare coverage criteria and the Conditions of Participation (CoP). Includes a section dedicated to survey preparation as well as an exploration of proposed CoPs. The Prospective Payment System (PPS): Gives an overview of critical concepts, including the Home Health Resource Group (HHRG), consolidated billing requirements, and clinical issues with an impact on billing. All About the OASIS: Discusses the fundamentals of the OASIS and assessments. Compliance and Care Delivery: Highlights issues related to visits, physician orders, and start of care, recertification, and discharge. Documentation Essentials: Looks at documentation fundamentals, the clinical record, diagnoses, and the plan of care. Includes a section related to the 485 and elements of content.

The Home Health Guide to Medicare Service Delivery, 2015 Edition

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Publisher : Beacon Health, a Division of Blr
ISBN 13 : 9781556452673
Total Pages : 0 pages
Book Rating : 4.4/5 (526 download)

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Book Synopsis The Home Health Guide to Medicare Service Delivery, 2015 Edition by : Annette Lee

Download or read book The Home Health Guide to Medicare Service Delivery, 2015 Edition written by Annette Lee and published by Beacon Health, a Division of Blr. This book was released on 2015-04-14 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated to reflect the 2015 home health PPS final rule, The Beacon Guide to Medicare Service Delivery, 2015 Edition offers a one-stop solution for home health professionals that are looking for answers to their Medicare compliance questions. This book also enables agencies to ensure services are delivered according to current Medicare regulations and helps staff understand how to produce patient care documentation that supports compliance and proper payment claims. This manual is more valuable than the government's version because it provides: An overview of the upcoming sanctions that will impact home health agencies in 2015 Quick access to concise, up-to-date CMS regulations, CoP rules, and Interpretive Guidelines and analyses An all-in-one resource combining the CoPs and Interpretive Guidelines, usable for reference during care delivery as well as for orientation and staff training An easy-to-read, three-column format displaying G-tags, regulations, and Interpretive Guidelines An overview of the home health PPS final rule, featuring complete interpretation and compliance guidelines on all PPS regulations An overview of CMS' proposed Conditions of Participation and what they could mean for home health in the future A comprehensive index with frequently consulted sections presented in boldface type for easy use "Nuts and bolts" education--this book takes the most complicated aspects of Medicare healthcare services and explains them in an easy-to-understand way This annual product includes all up-to-date regulatory changes with a focus on the home health PPS final rule. Table of Contents: The Basics of Medicare Service Delivery: Presents the fundamentals of Medicare coverage criteria and the Conditions of Participation. Includes a section dedicated to survey preparation. The Prospective Payment System (PPS): Gives an overview of critical concepts, including the Home Health Resource Group (HHRG), consolidated billing requirements, and clinical issues with an impact on billing. All About the OASIS: Discusses the fundamentals of the OASIS and assessments. Compliance and Care Delivery: Highlights issues related to visits, physician orders, and start of care, recertification, and discharge. Documentation Essentials: Looks at documentation fundamentals, the clinical record, diagnoses, and the plan of care. Includes a section related to the 485 and elements of content. Overview of CMS' Proposed New Conditions of Participation Appendixes

The Medicare Handbook

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Publisher :
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Medicare Handbook by :

Download or read book The Medicare Handbook written by and published by . This book was released on 1989 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Beacon Guide to Medicare Service Delivery

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Publisher : Healthleaders Media
ISBN 13 : 9781601467126
Total Pages : pages
Book Rating : 4.4/5 (671 download)

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Book Synopsis The Beacon Guide to Medicare Service Delivery by : Beacon Health

Download or read book The Beacon Guide to Medicare Service Delivery written by Beacon Health and published by Healthleaders Media. This book was released on 2010-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Beacon Guide to Medicare Service Delivery

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Publisher :
ISBN 13 : 9781615691937
Total Pages : 84 pages
Book Rating : 4.6/5 (919 download)

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Book Synopsis The Beacon Guide to Medicare Service Delivery by : Beacon Health

Download or read book The Beacon Guide to Medicare Service Delivery written by Beacon Health and published by . This book was released on 2014-06-29 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated to reflect the 2013 PPS Final Rule, The Beacon Guide to Medicare Service Delivery: 2013 Edition helps your staff understand how to deliver and document patient care in compliance with the Medicare rules. Newly-expanded to include care planning and navigating the CMS-485, the Beacon Guide remains the industry leader in providing complete interpretation and compliance guidelines on all PPS regulations. What's New in the 2013 Edition: * The Beacon Guide has been reviewed for accuracy and updated to reflect changes based on the 2013 PPS Final Rule. * Analysis of how to comply with the updated face-to-face physician encounter requirement, including strategies to complete required documentation * Guidance on new therapy coverage and reassessment changes, including tips on how to meet assessment timelines, and ensure documentation accuracy Survey preparation strategies under the revised survey process Benefit from this manual by: * Giving staff a working knowledge of the current regulations * Implementing checks to ensure services are delivered according to regulations * Producing documentation that supports compliance and payment claims

Medicare and Medicaid Programs - Cy 2017 Home Health Prospective Payment System Rate Update - Home Health Value-Based Purchasing Model (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781722438784
Total Pages : 182 pages
Book Rating : 4.4/5 (387 download)

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Book Synopsis Medicare and Medicaid Programs - Cy 2017 Home Health Prospective Payment System Rate Update - Home Health Value-Based Purchasing Model (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library

Download or read book Medicare and Medicaid Programs - Cy 2017 Home Health Prospective Payment System Rate Update - Home Health Value-Based Purchasing Model (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-07-04 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare and Medicaid Programs - CY 2017 Home Health Prospective Payment System Rate Update - Home Health Value-Based Purchasing Model (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare and Medicaid Programs - CY 2017 Home Health Prospective Payment System Rate Update - Home Health Value-Based Purchasing Model (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule updates the Home Health Prospective Payment System (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor; effective for home health episodes of care ending on or after January 1, 2017. This rule also: Implements the last year of the 4-year phase-in of the rebasing adjustments to the HH PPS payment rates; updates the HH PPS case-mix weights using the most current, complete data available at the time of rulemaking; implements the 2nd-year of a 3-year phase-in of a reduction to the national, standardized 60-day episode payment to account for estimated case-mix growth unrelated to increases in patient acuity (that is, nominal case-mix growth) between CY 2012 and CY 2014; finalizes changes to the methodology used to calculate payments made under the HH PPS for high-cost "outlier" episodes of care; implements changes in payment for furnishing Negative Pressure Wound Therapy (NPWT) using a disposable device for patients under a home health plan of care; discusses our efforts to monitor the potential impacts of the rebasing adjustments; includes an update on subsequent research and analysis as a result of the findings from the home health study; and finalizes changes to the Home Health Value-Based Purchasing (HHVBP) Model, which was implemented on January 1, 2016; and updates to the Home Health Quality Reporting Program (HH QRP). This book contains: - The complete text of the Medicare and Medicaid Programs - CY 2017 Home Health Prospective Payment System Rate Update - Home Health Value-Based Purchasing Model (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section

A Provider's Guide to the Medicare Home Health Certification Process

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (238 download)

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Book Synopsis A Provider's Guide to the Medicare Home Health Certification Process by : National Association for Home Care (U.S.)

Download or read book A Provider's Guide to the Medicare Home Health Certification Process written by National Association for Home Care (U.S.) and published by . This book was released on 1991 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Integrating Social Care into the Delivery of Health Care

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Publisher : National Academies Press
ISBN 13 : 0309493439
Total Pages : 195 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Integrating Social Care into the Delivery of Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Integrating Social Care into the Delivery of Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-30 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

The Beacon Guide to Medicare Service Delivery, 2014 Edition

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Publisher : Beacon Health, a Division of Blr
ISBN 13 : 9781615693221
Total Pages : 0 pages
Book Rating : 4.6/5 (932 download)

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Book Synopsis The Beacon Guide to Medicare Service Delivery, 2014 Edition by : Annette Lee

Download or read book The Beacon Guide to Medicare Service Delivery, 2014 Edition written by Annette Lee and published by Beacon Health, a Division of Blr. This book was released on 2014-02-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Beacon Guide to Medicare Service Delivery, 2014 Edition Updated to reflect the 2014 PPS final rule, The Beacon Guide to Medicare Service Delivery, 2014 Edition helps your staff understand how to deliver and document patient care in compliance with Medicare rules. The 2014 edition has been revised to include HHABN updates, OASIS-C1, ICD-10, and the new alternative sanctions that home health agencies will face in 2014. The Beacon Guide remains the industry leader in providing complete interpretation and compliance guidelines on all PPS regulations and highlighting changes that will impact your outcomes. The 2014 edition features: Analysis of the new Home Health Advance Beneficiary Notice (HHABN), including a sample form Up-to-date OASIS-C1 guidance A detailed explanation of how the ICD-10 transition will affect your agency In-depth descriptions and interpretations of the new alternative sanctions coming in 2014 Home health prospective payment system 2014 final rule analysis This manual: Gives staff a working knowledge of the current regulations Enables agencies to implement checks to ensure services are delivered according to Medicare regulations Helps you produce documentation that supports compliance and payment claims Serves as a important agency resource that anyone can use when stumped by a regulatory or operational question Table of Contents: The Prospective Payment System (PPS): Gives an overview of critical concepts, including the Home Health Resource Group (HHRG), consolidated billing requirements, and clinical issues that impact billing. All About the OASIS: Discusses the fundamentals of the OASIS and assessments. Compliance and Care Delivery: Highlights issues related to visits, physician orders, and start of care, recertification, and discharge. Documentation Essentials: Looks at documentation fundamentals, the clinical record, diagnoses, and the plan of care. This includes a section related to the 485 and elements of content.

Handbook of Home Health Standards E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323079431
Total Pages : 688 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Handbook of Home Health Standards E-Book by : Tina M. Marrelli

Download or read book Handbook of Home Health Standards E-Book written by Tina M. Marrelli and published by Elsevier Health Sciences. This book was released on 2008-10-13 with total page 688 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Home Health Standards: Quality, Documentation, and Reimbursement includes everything the home care nurse needs to provide quality care and effectively document care based on accepted professional standards. This handbook offers detailed standards and documentation guidelines including ICD-9-CM (diagnostic) codes, OASIS considerations, service skills (including the skills of the multidisciplinary health care team), factors justifying homebound status, interdisciplinary goals and outcomes, reimbursement, and resources for practice and education. The fifth edition of this “little red book has been updated to include new information from the most recently revised Federal Register Final Rule and up-to-date coding. All information in this handbook has been thoroughly reviewed, revised, and updated. Offers easy-to-access and easy-to-read format that guides users step by step through important home care standards and documentation guidelines Provides practical tips for effective documentation of diagnoses/clinical conditions commonly treated in the home, designed to positively influence reimbursement from third party payors. Lists ICD-9-CM diagnostic codes, needed for completing CMS billing forms, in each body system section, along with a complete alphabetical list of all codes included in the book in an appendix. Incorporates hospice care and documentation standards so providers can create effective hospice documentation. Emphasizes the provision of quality care by providing guidelines based on the most current approved standards of care. Includes the most current NANDA-approved nursing diagnoses so that providers have the most accurate and up-to-date information at their fingertips. Identifies skilled services, including services appropriate for the multidisciplinary team to perform. Offers discharge planning solutions to address specific concerns so providers can easily identify the plan of discharge that most effectively meets the patient’s needs. Lists the crucial parts of all standards that specific members of the multidisciplinary team (e.g., the nurse, social worker) must uphold to work effectively together to achieve optimum patient outcomes. Resources for care and practice direct providers to useful sources to improve patient care and/or enhance their professional practice. Each set of guidelines includes patient, family, and caregiver education so that health care providers can supply clients with necessary information for specific problems or concerns. Communication tips identify quantifiable data that assists in providing insurance case managers with information on which to make effective patient care decisions. Several useful sections make the handbook thorough and complete: medicare guidelines; home care definitions, roles, and abbreviations; NANDA-approved nursing diagnoses; guidelines for home medial equipment and supplies. Small size for convenient carrying in bag or pocket! Provides the most up-to-date information about the newest and predominant reimbursement mechanisms in home care: the Prospective Payment System (PPS) and Pay For Performance (P4P). Updated terminology, definitions, and language to reflect the federal agency change from Health Care Financing Administration (HCFA) to Centers for Medicare & Medicaid Services (CMS) and other industry changes. Includes the most recent NANDA diagnoses and OASIS form and documentation explanations. New interdisciplinary roles have been added, such as respiratory therapist and nutritionist.,/LI>

Medicare, Home Health Agency Manual

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Publisher :
ISBN 13 :
Total Pages : 700 pages
Book Rating : 4.3/5 (126 download)

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Book Synopsis Medicare, Home Health Agency Manual by : United States. Health Care Financing Administration

Download or read book Medicare, Home Health Agency Manual written by United States. Health Care Financing Administration and published by . This book was released on 1990 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medicare Home Health Care

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Publisher : DIANE Publishing
ISBN 13 : 9780756702977
Total Pages : 60 pages
Book Rating : 4.7/5 (29 download)

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Book Synopsis Medicare Home Health Care by : William J. Scanlon

Download or read book Medicare Home Health Care written by William J. Scanlon and published by DIANE Publishing. This book was released on 2000-10 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare spending for home health care rose from $3.7 billion in 1990 to $17.8 billion in 1997, making it one of the fastest growing components of the program. To control spending, Congress passed an act which required HHS to develop a prospective payment system to replace cost-based payments for home health agencies. This report: documents the objectives, findings, & costs of the research & demonstration projects the Health Care Finance Admin. has funded that were related to the design of the prospective payment system; & assesses how these projects contributed to the proposed prospective payment system design & determines which design decisions were based on incomplete information. Charts & tables.

Beacon Guide to Medicare Service Delivery 2012

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Publisher : Healthleaders Media
ISBN 13 : 9781615691692
Total Pages : 334 pages
Book Rating : 4.6/5 (916 download)

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Book Synopsis Beacon Guide to Medicare Service Delivery 2012 by : Paula Long

Download or read book Beacon Guide to Medicare Service Delivery 2012 written by Paula Long and published by Healthleaders Media. This book was released on 2014-05-14 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated to reflect the 2012 PPS Final Rule, The Beacon Guide to Medicare Service Delivery: 2012 Edition helps your staff understand how to deliver and document patient care in compliance with the Medicare rules. Newly-expanded to include care planning and navigating the CMS-485, the Beacon Guide remains the industry leader in providing complete interpretation and compliance guidelines on all PPS regulations. What's New in the 2012 Edition: * Complete section on care planning strategies and completing the CMS 485 form * Detailed analysis of how to comply with the face-to-face physician encounter requirement, including strategies to partner with physicians and discharge planners to complete required documentation * Guidance on new therapy assessment and reassessment changes, including tips on how to meet assessment timelines, and ensure documentation accuracy * Downloadable chapter on hospice management * Survey preparation strategies under the revised survey process, including the necessary steps to prepare for a CMS audit. * A breakdown of the most common survey deficiencies, with insight into exactly what a surveyor will be looking for upon arriving at your agency Benefit from this manual by: * Giving staff a working knowledge of the current regulations * Implementing checks to ensure services are delivered according to regulations * Producing documentation that supports compliance and payment claims

Home Health Care Benefits Under Medicare and Medicaid, Department of Health, Education, and Welfare

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Publisher :
ISBN 13 :
Total Pages : 66 pages
Book Rating : 4.:/5 (33 download)

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Book Synopsis Home Health Care Benefits Under Medicare and Medicaid, Department of Health, Education, and Welfare by : United States. General Accounting Office

Download or read book Home Health Care Benefits Under Medicare and Medicaid, Department of Health, Education, and Welfare written by United States. General Accounting Office and published by . This book was released on 1974 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Home Health

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Publisher :
ISBN 13 :
Total Pages : 24 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Home Health by :

Download or read book Home Health written by and published by . This book was released on 1995 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Handbook of Home Health Standards, Revised Reprint

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323086144
Total Pages : 761 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Handbook of Home Health Standards, Revised Reprint by : Tina M. Marrelli

Download or read book Handbook of Home Health Standards, Revised Reprint written by Tina M. Marrelli and published by Elsevier Health Sciences. This book was released on 2011-08-11 with total page 761 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Home Health Standards, Revised Reprint