Call 855.485.QIRT for more information

Call 855.485.QIRT for more information

Home care, hospice, and general post-acute resource links and articles.

Quality - Home Care Coding and OASIS 

ICD-10-CM Official Guidelines for Coding and Reporting 2018

https://www.cdc.gov/nchs/data/icd/10cmguidelines_fy2018_final.pdf

OASIS C2 Guidance Manual Effective 1/1/18

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HomeHealthQualityInits/Downloads/OASIS-C2-Guidance-Manual-Effective_1_1_18.pdf

HHGM Proposed Rule

https://www.federalregister.gov/documents/2017/07/28/2017-15825/medicare-and-medicaid-programs-cy-2018-home-health-prospective-payment-system-rate-update-and

 

Compliance - Information on Additional Development Requests (ADRs), RAC Reviews, and other audits

2017 "Hot Button" Topics in Compliance

This one is about the pending Targeted Probe and Educate reviews:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/Targeted-Probe-and-EducateTPE.html

This relates to Medical Review and a CMS "Clinical Template" to assist agencies with compliance:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/Home_Health_Medical_Review_Update.html

These two deal with OASIS submission timeliness requirements:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/mm9585.pdf

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/se17009.pdf

Handling ADRs and Appeals.

Key Chapters from the Medicare Program Integrity Manual on Medical Review (3 and 6):

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/pim83c03.pdf

https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/pim83c06.pdf

Information on Recovery Audit Contractor (RAC) reviews:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Recovery-Audit-Program/

 

Bring Health Care Home

By JACK RESNICK , Originally Published: December 4, 2011

ONE of my patients called me with a high fever, chills and dropping blood pressure. He was 48 and had been a quadriplegic since he was shot during a robbery in the hardware store he owned. I called an ambulance and admitted him to the hospital, where we soon brought his urinary tract infection under control. But he developed a bedsore, which became infected with an antibiotic-resistant bacterium that breeds in hospitals. He didn’t survive the hospitalization.

MORE: http://www.nytimes.com/2011/12/05/opinion/bring-health-care-home.html?_r=1

Contact Us

QIRT leads the post-acute industry in coding, billing, and consulting. Serving agencies across the United States, QIRT provides multi-level coding/MDS/UAS reviews, quality assurance, appeals, outsourced billing, consulting, and education.

15 Verbena Avenue, Suite 210, Floral Park, NY 11001

855.485.QIRT (7478)

855.485.QIRT (7478)

516.706.3341

516.706.3341

Recent News

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    Tuesday, October 23, 2018


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    Tuesday, October 16, 2018


  • QIRT Welcomes Giovanni Pagano, Director of Business Development Learn More

    Tuesday, September 11, 2018


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