Gateway Home Health Coding & Consulting, LLC

05/29/2025

https://bit.ly/4mDCvvb

Source and Credit: Home Health Care News, By Audrie Martin | May 28, 2025The Centers for Medicare & Medicaid Services (CMS) announced that it is ramping up audits of all Medicare Advantage (MA) plans – which could possibly lead to decreased rates for home health providers.CMS’s plan to audit all...

04/30/2025

Don't miss Joe Osentoski, BAS, RN, GERO-BC (Medical Appeals Specialist and Senior Consultant), at the 2025 Ohio Health Care Association Convention & Expo, May 7th; www.ohca.org/convention

3:15 pm to 4:45pm
The New Home Health Acceptance to Services Policy: CMS states a concern related to access to home health services and the quality of the home health service provided to meet patient needs. CMS is trying to address access to care barriers with its admission-to-service policy. Though the demand for care continues to increase, providers have struggled with referral rejection rates over the years due to capacity issues that stem from staffing. This will outline the new acceptance-to-service Condition of Participation, explain how to adapt discharge planning and intake for compliance, define the steps needed to improve timely initiation of care, summarize updates needed to policies and procedures, and Identify staff training needs, continuous review process.

10:15 am to 11:15 am
PGBA and Federal Home Health Updates: A discussion of common issues with Review Choice Demonstration (RCD) from the MAC. Recent Home Health & Hospice Coalition Meetings, FAQs, and review/denial trends are addressed. This includes looking at the MAC's responses for keeping claims denied, most relevant clinical content, and areas that agencies may focus on to preempt triggering medical reviews as well as optimize outcomes in case of review.

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02/23/2025

If you are attending ACHCU Academy in Dallas, TX on March 3rd-5th, you will not have double vision. What you will have, is a double dose of home health and hospice compliance content presented by Joe Osentoski, RN, Senior Consultant. Monday March 3rd starts things off with "Hospice: Making Lemonade....

02/05/2025

Attending ACHCU Academy conference next month?
Get a glimpse into the presentations by our very own
Joe Osentoski, BAS, RN, GERO-BC, Clinical Appeals Expert

If you are attending ACHCU Academy in Dallas, TX on March 3rd-5th, you will not have double vision. What you will have, is a double dose of home health and hospice compliance content presented by Joe Osentoski, RN, Senior Consultant. Monday March 3rd starts things off with "Hospice: Making Lemonade....

01/17/2025

Hospice Providers need to read this
CMS - Hospice Special Focus Program

Source; Centers for Medicare & Medicaid Services (CMS)The CMS Hospice Special Focus Program (SFP) will monitor hospices identified as poor performers based on selected quality indicators. Hospices selected for the SFP will be under additional oversight to enable continuous improvement. The program,....

12/31/2024

As we welcome the new year, it's a time for reflection and setting new goals. At Gateway Home Health Coding & Consulting, we are committed to fostering partnerships that drive compliance success and operational efficiency in the healthcare industry. Let's work together to make 2025 a year of growth and achievement.

12/24/2024

As we celebrate this festive season, we wish everyone a Merry Christmas. This time of year reminds us of the importance of community, partnership, and the spirit of giving. Together, we can navigate the complexities of healthcare and support one another in achieving success. Let's continue to build trust and collaboration in our efforts to enhance the lives of those we serve.

11/13/2024

🌟 Exciting News! 🌟

We’re thrilled about becoming a sponsor for ACHCU Academy, happening March 3-5, 2025, in Dallas, Texas! 🎉 Join us at this incredible educational and networking event where healthcare leaders will explore how to balance daily demands with long-term goals.

With five tailored educational tracks, there’s something for everyone:

🏠 Home Health
💖 Hospice
💊 Pharmacy
🏥 Hospital Clinical/Administrative
🏗️ Hospital Facilities Management

This is a fantastic opportunity to connect with industry experts, collaborate with peers, and gain valuable insights — all while earning up to 15 continuing education units!

Let’s empower the future of healthcare together! We can’t wait to see you in Dallas! 💬✨

Learn more: https://web.cvent.com/event/99aff516-1e4b-4f1f-a591-4357740e7be5/summary

03/25/2024

Where should you be on April 21-24? In Dallas for AGILE with other care at home industry leaders and advocates.

The 2024 Axxess Growth, Innovation and Leadership Experience, or AGILE, will feature the brightest thought leaders and forward-thinking industry professionals. This incredible event also includes innovative companies, like Gateway Home Health Coding & Consulting, LLC, an AGILE 2024 Innovation Showcase sponsor.

Make sure to book by April 1 for discounted hotel rates: https://www.axxess.com/agile

01/18/2024

This months Preferred Partner Spotlight
Paisley & Elm LL Cost Reporting Services

Do you have a qualified firm preparing your Medicare Cost Report?
Mention "Gateway" and receive 10% off Cost Report Services.

Email: ccoppney@medcostreports.com
Phone: (312) 203-1771
https://www.medcostreports.com/practices/

01/03/2024

What makes our and clients so happy?

“We are so busy, it is nice to have someone else generate and submit ADRs so I can focus on managing patient care instead of taking time away to search for what is needed.”

“Gateway is honest, and you guys give us the feedback that helps our clinical team learn what is important.”

“We had an attorney helping for a long time and it cost well over three times as much money.”

“I was so scared to attend the Administrative Law Judge hearing, but I didn’t have to say a word. You handled everything.”

“From the first request of an episode, through appeals, and then the Hearing, it was very interesting to watch you piece everything together like a puzzle.”

“Thanks to you, we really know the difference between what CMS is looking for on a survey versus a medical audit. Completely different world”

12/31/2023