Category Archives: Home Health

Tips on Ordering and/or Referring Providers

UPDATE ON 4/25/13:  CMS announced the delay of PECOS edits that would result in denial of home health claims & Medicare part B claims when the ordering/referring physician is not enrolled in PECOS.  CMS will advise the new implementation date … Read Full Post

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Personnel Requirements of a Florida Home Health Agency – Part 5

In this last installment of our five-part series on The Personnel Requirements of a Florida Home Health Agency, we will cover the position of home health agency Medical Director. The first and most important point to keep in mind is … Read Full Post

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Personnel Requirements of a Florida Home Health Agency – Part 4

So far in our series on the Personnel Requirements of a Florida Home Health Agency, we’ve reviewed the positions of Administrator, Director of Nursing and Supervisory nurse.  This week, we will discuss the requirements of the Financial Officer. Another requirement … Read Full Post

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Personnel Requirements of a Florida Home Health Agency – Part 3

In this third installment of our series about the Personnel Requirements of a Florida Home Health Agency, we will review the requirements for the supervising nurse. Home health agencies that do not provide nursing services, such as those agencies that … Read Full Post

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Personnel Requirements of a Florida Home Health Agency – Part 2

Welcome back to our series about the Personnel Requirements of a Florida Home Health Agency.  In the last installment, we discussed the requirements of the Administrator and Alternate Administrator.  This week, we will review the qualifications and responsibilities of the … Read Full Post

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What We’re Reading – Getting prepared for ordering and referring denial edits

Are you aware that, effective May 1, 2013, CMS will deny claims if the ordering and/or referring providers are not enrolled in the Medicare system?  This will affect all Medicare Part B covered services, durable medical equipment, orthotics, and supplies … Read Full Post

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Personnel Requirements of a Florida Home Health Agency – Part 1

Every home health agency licensed by the State of Florida must have a person designated as the Administrator, and a person designated as the Alternate Administrator, who serves in the temporary absence of the Administrator. To qualify to serve as … Read Full Post

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Personnel Requirements of a Florida Home Health Agency

This article series will explore each of the positions required by the State of Florida for the operation of a skilled home health agency.  We will outline the requirements of the Administrator and Alternate Administrator, Director of Nursing (skilled agency), … Read Full Post

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Is Your HIPAA Program on ‘Auto-Pilot?’ Security Rule Requires Continuous Oversight

Most healthcare providers automatically think about privacy issues when the HIPAA law comes to mind and seem to have gone on ‘auto-pilot’ when it comes to protecting privacy.  It’s not uncommon to see offices being mindful of the visibility of … Read Full Post

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Home Health Claim Rejections Can Be Easy to Fix

Home health agencies are seeing more claims returned due to code ‘N5052: Beneficiary Identification incorrect.’  This means that the beneficiary’s name and/or other personal data in the CWF transaction did not match the data stored on the beneficiary’s master record … Read Full Post

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