In FY 2014, the Comprehensive Error Rate Testing (CERT) program found that more than half (51.4%) of home health claims were paid improperly. Approximately 90% of the 1308 CERT-reviewed claim lines in error were found to “have insufficient documentation errors.”
CMS is now considering developing a voluntary electronic clinical template and a voluntary home health paper clinical template to assist physicians and practitioners in documenting patient eligibility for the Medicare home health benefit. Using clinical templates may reduce the burden on physicians and practitioners who order home health services, according to CMS. The templates have been in the development process for the past year. As part of this process, CMS has been hosting a series of Special Open Door Forum calls to provide an opportunity for physicians/practitioners, home health agencies, and other interested parties to provide feedback on the draft templates. The final Open Door Forum to discuss these templates will be Tuesday, April 28, 2015 at 1:30p.m. EST.
Click here to read more.