Home Health Line Breaking News
05/29/2014
Proposed revisions to the home health Conditions of Participation (CoP) have recently been sent to the Office of Management and Budget (OMB) for review.
05/27/2014
Medicare claims denials by recovery auditors (RACs) combined with more than 460,000 pending provider requests for administrative law judge (ALJ) review of those denials provoked sharp bipartisan criticism of CMS at a recent House Oversight Subcommittee hearing for failing to prevent the appeals jam. 
 
 
05/20/2014
Despite the year-long ICD-10 delay, OASIS-C1 implementation will move forward but with a new start date of Jan. 1, 2015, and some interim changes to the five coding items that required the use of ICD-10 codes, CMS says in a May 20 release.
 
 
05/16/2014
Agencies that bill to Palmetto GBA can expect even more scrutiny of high-therapy claims with HIPPS code 5BGK*, as the Medicare administrative contractor (MAC) initiates a targeted review of these claims. 
 
05/02/2014
An ICD-10 testing week CMS previously scheduled for July 21-25 has been canceled as a result of ICD-10’s one-year implementation delay.
 
 
05/01/2014
ICD-10 will be rolled out on Oct. 1, 2015, according to numerous references in the proposed hospital inpatient payment rule posted on April 30.
 
 
04/24/2014
Amedisys, one of the nation’s largest providers of home health services, has agreed to pay $150 million to the federal government to resolve allegations that it violated the False Claims Act by submitting false home health billings to Medicare, the Department of Justice (DOJ) announced Feb. 23.
 
03/06/2014
President Obama’s proposed fiscal 2015 budget would have a heavy financial impact on home health agencies.
 
02/05/2014
In its 2014 work plan, which was released on Jan. 31, the HHS Office of Inspector General (OIG) said it will begin to review the extent to which hospices serve Medicare beneficiaries who live in assisted living facilities to determine the length of stay, levels of care provided and common terminal illnesses.
01/31/2014
CMS announced a second set of new, temporary moratoria on the home health agency enrollment in four metropolitan areas: Fort Lauderdale, Detroit, Dallas and Houston.

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