Home Health Line
03/30/2015
CMS doesn’t require Medicare Advantage plans to demand that physicians have face-to-face encounters with plan enrollees they refer for home health. But agencies should be alert to the possibility that plans can adopt such a requirement on their own. 
 
03/30/2015
Even though a proposed track 3 for accountable care organizations (ACOs) in the Medicare shared savings program (MSSP) offers significant financial incentives, including a homebound status waiver, most ACOs will choose to remain in the less risky track 1, key industry stakeholders argue. 
 
03/30/2015
During a recent open door forum, CMS provided inaccurate information to home health agencies regarding their role in providing documentation to support certification for home health services, the federal Medicare agency acknowledged. 
 
03/30/2015
Legislation now taking shape in the House to finally do away with the flawed sustainable growth rate (SGR) formula for deciding Medicare’s physician reimbursement rates would demand less of the home health industry than feared.
 
03/30/2015
Home health agencies are at risk and potentially costing themselves thousands of dollars in incomplete or improperly coded records by not having a backup plan when their coder is out of the office sick or on vacation, according to the results of DecisionHealth’s Home Health Coders’ Productivity Survey of 230 coders.
 
03/30/2015
After listening to industry comments on its proposed 5-Star rating system for home health, CMS has removed the process measure “Pneumococcal Vaccine Ever Received” from the rating system. 
 
03/30/2015
The average hospice profit margin, including the effect of the 2% sequester reimbursement reduction, will drop to 6.6% this year, compared with 10.1% as recently as 2012, according to the Medicare Payment Advisory Commission (MedPAC). 
 
03/30/2015
by: Megan Gustafson
About 23% of coders say they code five or fewer charts per day, and about 28% of coders code six to 10. That’s according to the 230 respondents for DecisionHealth’s Home Health Coders’ Productivity Survey.
 

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