Texas Health and Human Services and Texas OASIS Helpdesk released their April 2017 OASIS Matters newsletter. This newsletter is a great resource for all Licensed and Certified Home Health Services (L&CHHS). The April 2017 OASIS Matters Newsletter has information on: Denial of Home Health Payments When Required Patient Assessment Is Not Received Information about the CMS update to the Home Health Quality Reporting Program Updates on, and links to information on claims and ...

Hospice agencies who are due for renewal of their HHS contract are required to complete both a Data Use Agreement (DUA) and a Security and Privacy Initial Inquiry (SPI). At this time, it is unclear which, if any, hospice subcontractors (such as DME, pharmacy, etc.) must be covered by the DUA. Each agency will have to assume responsibility for deciding which sub-contractors meet the standard of inclusion. The SPI requires you to have a DUA policy which HCL is preparing now and will be sent to...

TOP DENIAL REASONS in 2016 for TEXAS: What are they and how do you protect your agency! Pre-Claim Review: According to CMS, this is a TEMPORARY delay and Texas will be notified 30 days prior to initiation on their website. The most important thing to remember is TRAINING and PREPARATION NOW IS CRITICAL! A thirty day notice is not enough time to prepare for Pre-Claim Review! Targeted Review: Along with reasons for denial prepare your agency for areas of targeted review Prepare for Recent ...