Late: The first 30-day period of a home health stay is considered early, and each subsequent care period is considered late. According to the CMS, in the PDGM, the first 30-day episode is early. All subsequent periods in the sequence are classified as late until there is an interval of at least 60 days between discharge and the start of care for the next episode. If 60 days have elapsed between episodes, the first 30 days of that start of treatment are considered early and subsequent sequences and episodes are considered late.
For Home Care near Marine on St. Croix MN, please note that this is automatically corrected in the claim, so agencies can't change overnight for an additional refund. The OASIS no longer determines if it's early or late. According to the PDGM, the first 30-day billing period is considered early. All billing periods after that period on the chart are considered overdue. For Home Care near Marine on St. Croix MN, please note that this is automatically corrected in the claim, so agencies can't change overnight for an additional refund. The OASIS no longer determines if it's early or late. According to the PDGM, the first 30-day billing period is considered early. All billing periods after that period on the chart are considered overdue.
There may be an exception in this case. If there is no 60-day interval between the date of registration of the last card and the start of service for the next one, the billing period for the first 30 days is considered late. There are a couple of ways to handle this in the software. The first is to edit the record of the start of care status and check the box that says that admission is late, as seen in this image. The ICD-10-CM coding will be the only source for establishing this level of clustering.
The current Home Health Care Prospective Payment System (HHPPS) has a 60-day limit of 5 visits per episode.
