Home Oxygen Therapy – Medical Record Requirements
March 27th, 2018 - Raquel Shumway 0 Votes - Sign in to vote or comment. |
The Medical Record must contain sufficient documentation to substantiate the need for home oxygen therapy. According to the MLN Booklet for Home Oxygen Therapy, this would include the following:
- Type, quantity and frequency of use.
- Meet LCD Requirements
- Support for the patient’s continued need for:
- Oxygen therapy in home
- Use of oxygen equipment
- The Certificate of Medical Necessity (CMN). The information found in the patient’s medical record and the information found in the supplier’s records must correlate with the information on the CMN.
- All medical records must be kept for 7 years from the date of service (DOS).
Patient Information to be included in the Medical Record (This is also in the MLN Booklet):
- Diagnosis
- Duration of condition
- Clinical course (worsening or improving)
- Prognosis
- Results of the blood gas study, either printed data from test or written in the notes
- If portable oxygen is needed, an indication that patient is mobile within the home
- Nature and extent of functional limitations
- Other therapeutic interventions and results
- Past experience with related items and
- Any other information that might be pertinent
###
Questions, comments?
If you have questions or comments about this article please contact us. Comments that provide additional related information may be added here by our Editors.
Latest articles: (any category)
Finalized Confidentiality of Alcohol and Drug Abuse Patient Records RegulationsAugust 31st, 2018 - Wyn Staheli, Director of Research
In January, the U.S. Department of Health and Human Services (HHS) issued updates to the privacy regulations regarding the confidentiality of patient information of substance use disorder patients (42 CFR Part 2). This notice included references to better alignment with HIPAA regulations, but did state that Part 2 is more protective ...
Pricing for ASC’s and APC’sAugust 27th, 2018 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
For Medicare purposes, an Ambulatory Surgical Center Resources (ASC) is a distinct entity that operates exclusively to furnish surgical services to patients who do not require hospitalization and in which the expected duration of services does not exceed 24 hours following admission. ASC payment groups determine the amount that...
PSAVE Pilot Program - What Does it Mean to You?August 20th, 2018 - Wyn Staheli, Director of Research
Noridian's pilot program Provider Self-Audit with Validation and Extrapolation (PSAVE) has been extended which means that it has been successful for the payer, which means that they are saving money. Historically, when a pilot program is proven to be successful, it isn’t too long before other MACs follow. Before signing up to participate, providers need to carefully evaluate the program. Are the benefits worth the costs?
Importance of Depression ScreeningsAugust 16th, 2018 - Wyn Staheli, Director of Research
Why would a chiropractor be concerned about depression screenings when you aren’t trained to be a mental health provider? The answer lies in patient outcomes. Many quality care organizations recommend depression screenings for patients with a chronic condition. According to The National Institute of Mental Health, “People with other chronic ...
Using Modifiers 96 and 97August 16th, 2018 - Wyn Staheli, Director of Research
The Affordable Care Act (ACA) requires coverage of certain essential health benefits (EHBs), two of which are rehabilitative and habilitative services and devices. Since the ACA did not define these terms or specify coverage requirements, it is left up to individual states to create benchmark plans to determine coverage requirements. ...
Medicare Timed Codes GuidelinesAugust 16th, 2018 - Wyn Staheli, Director of Research
Medicare's guidelines for reporting of timed codes is found in Medicare Claims Processing Manual Chapter 5, Section 20.2. Also known as the '8 minute' rule, it describes how to calculate time for appropriate reporting when more than one timed code is performed at the same time.
It should be noted that while ...
QPro’s First Annual QPro ConAugust 15th, 2018 - Chris Woolstenhulme QCC, CMCS, CPC, CMRS
Date: October 9-10 Time: 9-3 MST
QPro Con is featuring a virtual event with keynote speakers and experts with years of hands-on experience in the healthcare industry. Stay ahead of the changes and keep informed of important information that affects the healthcare community.
Attendees receive 12 FREE CEUs with the purchase ...
