AHCC’s advocacy team actively monitors, responds, and participates in industry initiatives to increase the awareness and visibility of the critical role post-acute care plays in the care continuum. AHCC is also committed to setting and measuring standards of professional excellence so patients and their families can have confidence in post-acute care providers.
AHCC and BMSC Respond to 2019 HHPPS Proposed Rule
The Association of Home Care Coding and Compliance (AHCC) together with the Board of Medical Specialty Coding and Compliance (BMSC) submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the comment on changes to the Home Health Prospective Payment System as outlined by the Centers for Medicare and Medicaid Services in the proposed rule issued July 12, 2018.
As part of the proposed PDGM payment system, patients will be grouped into one of six clinical groups based on the principal diagnosis listed on the claim. We’re concerned that agencies will find that a significant portion of their claims include a principal diagnosis that doesn’t place the claim into one of the new clinical categories. AHCC and BMSC request that CMS specifically state in the regulations the process for resubmitting a denied claim so that providers will have a clear process to avoid improper claims denial and/or the risk of being perceived to be engaged in a non-compliant practice like upcoding.
Read the rest of AHCC/BMSC comments here.
AHCC Submits Comments on Proposed Review Choice Demonstration Project
The Association of Home Care Coding and Compliance (AHCC) together with the Board of Medical Specialty Coding and Compliance (BMSC), the credentialing arm of AHCC, recently submitted comments to CMS on the proposed Review Choice Demonstration Project.
The original Pre-Claim Review Demonstration Project caused many problems in Illinois due to operational issues. Reimbursement claims for legitimately necessary and compliantly supplied services were delayed and denied. There was a huge backlog of claims needing review that further delayed payment. Overall, in the early weeks and months of the project, home health agencies struggled to receive payment for legitimate claims due to “technical” documentation errors that did not alter the patient's eligibility or medical need for the services. It’s unclear how the new project will address these issues.
Read the rest of AHCC’s comments here.
AHCC and BMSC Submit Comments on OASIS-D
The Association of Home Care Coding and Compliance (AHCC) together with the Board of Medical Specialty Coding and Compliance (BMSC), the credentialing arm of AHCC, recently submitted comments to CMS on proposed changes to the OASIS.
Although we appreciate CMS’s attempts at providing a neutral change in that many items were deleted to make way for additional items, the deletion of many of the items will not save time in that, especially the best practices, the items will still need to be a part of the comprehensive assessment. For example, the agency will likely still assess for pain and for pressure ulcer risk, even if the actual OASIS items were deleted. CMS's estimate of the time saved is therefore inaccurate.
Read the rest of AHCC’s comments here.
AHCC Requests New Guidance for Coding Hypertensive Heart Disease with Heart Failure
The Association of Home Care Coding & Compliance has asked the CDC's National Center for Health Statistics to provide updated guidance when reporting codes from the Ischemic Heart Diseases category I20-I25 for patients with hypertension.
To read the letter, click here.
AHCC and BMSC Respond to Draft Interpretive Guidelines
AHCC and BMSC Respond to 2018 HHPPS Proposed Rule
The Home Health and Hospice ICD-10 Transition Workgroup Closing the Coding Guidance Gap
The Board of Medical Specialty Coding & Compliance announces the launch of the Home Care Coding Specialist—Hospice (HCS-H) Credential Exam
AHCC successfully led effort to resolve 7th character issue with CMS
Consortia of home health and hospice associations team up with CMS Ombudsman to ease ICD-10 transition
AHCC and BMSC working to resolve 7th character conundrum
ICD-10 Implementation Success Initiative
AHCC responds in letter to CMS’ proposed drop of the face-to-face (F2F) narrative requirement
Hospital proposed rule: New ICD-10 implementation date is Oct. 1, 2015
Congress passes one-year ICD-10 delay; Obama signature near certain
WEDI/CMS Welcome Home Health and Hospice to the ICD-10 Implementation Success Initiative