What are regulators looking for in HHRG data?
Homecare Insider, June 27, 2016
The CMS and medical reviewers pay close attention to patterns in care delivery and Home Health Resource Group (HHRG) data. They are looking for trends indicating that payment is driving care delivery. Surveyors and intermediaries will focus on the accuracy and consistency of the information and how it is used.
The 2008 revisions to the case-mix structure made it very difficult for any individual to memorize the case-mix items and scoring, which is probably a good thing. That may mean less manipulation of assessments and diagnoses to increase points.
Most Popular
- Articles
-
- Don’t forget the three checks in medication administration
- Q/A: ABN for multiple visits for infusion services
- Note similarities and differences between HCPCS, CPT® codes
- Complications from immobility by body system
- Differentiate between types of wound debridement
- ACGME opens comment period for proposed institutional requirement revision
- What is the difference between an IPA and a medical group?
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Preventing fires in the OR
- E-mailed
-
- Six ways to critique evidence-based practice articles
- What to expect when coding CAD, MI with ICD-10-CM
- Understand which parts of the medical record coders can use
- Preventing fires in the OR
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Injections and infusions continue to confuse coders
- Hospital Billing from A to Z: 3- and 1-day rules
- Expirations on standing orders
- ACGME opens comment period for proposed institutional requirement revision
- Searched