Home Health Line
06/03/2013
More claims might be denied now that Medicare administrative contractor (MAC) Palmetto GBA has announced it will “begin a more comprehensive review” of face-to-face documentation.
 
06/03/2013
Employers would be complying with requirements of the Affordable Care Act (ACA) if they offer employees a plan with a $3,500 combined medical and drug deductible and a $6,000 cap on workers’ out-of-pocket costs.
 
06/03/2013
If you think you have three years after your recent CMS survey until you’ll face another one, you could be in for a surprise: In response to an HHS Office of Inspector General (OIG) recommendation, CMS staff members could soon conduct a follow-up survey to double-check the work of your state surveyor.
 
06/03/2013
CMS has directed its Medicare administrative contractors (MACs) to issue lump-sum refunds to those home health agencies they incorrectly recouped money from due to a recent software glitch involving millions of dollars in outlier payments.
 
06/03/2013
Check your average number of visits per episode at least quarterly. Doing so can help you keep episode costs down while still providing quality care and removing a key red flag for auditors.
 
06/03/2013
The data show the average number of visits per episode in each of the CMS regions. New England and other Northeastern states have the highest number of visits, with more than 18 per episode.
06/03/2013
CMS has adopted an exception to its previous blanket ban on stamped signatures.
06/03/2013
The table shows what percentage of agencies surveyed in fiscal 2010 and 2011 were cited at the condition level.
 
06/03/2013
The table shows the average number of visits per episode for each state and U.S. territory. The national average stands at 18.31, but averages by state vary widely – from 12.65 in Oregon to 27.89 in Utah.
 

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