What Physicians Need to Know: Home Health Patient-Driven Groupings Model

What Physicians Need to Know: Home Health Patient-Driven Groupings ModelIn November 2018, CMS finalized a new case-mix classification model, the PDGM, effective beginning 1/1/2020. The PDGM relies more heavily on clinical characteristics and [...]

Medicare & You

Medicare & YouDownload the official Medicare & You handbook with important information about what’s covered by Medicare, preventive services, health plans, prescription drug plans, and your rights and appeals.

National Correct Coding Initiatives Edits - Physicians

Correcting and Avoiding Reason Code C7080: Inpatient Overlap

Correcting and Avoiding Reason Code C7080: Inpatient OverlapThis edit is applied to a home health episode claim that overlaps an inpatient claim in the system. A home health agency may bill for a visit on the day of inpatient admission and/or [...]