Home Health Line
11/19/2012
In the final 2013 PPS rule, CMS creates an informal dispute resolution (IDR) process for Medicare surveys that would offer agencies a chance to submit additional information on specific deficiencies without the cost of a formal appeal.
 
11/19/2012
No one knows yet how many claim denials will be averted by the government’s agreement to stop using a patient’s failure to improve as a reason to deny payment for home health services.
 
11/19/2012
One unanswered question about the recent proposed settlement is when CMS actually will direct Medicare contractors to stop citing failure to improve as a reason for denial.
 
11/19/2012
Think twice about signing a contract with Medicare Advantage (MA) plans and read the fine print before you do.
 
11/19/2012
What if the payer gets tired of paying you full rates for its PFFS beneficiaries, and just starts rejecting your claims in the hope that you’ll stop taking its patients?
 
11/19/2012
Look for discrepancies between case conference notes and the discharge OASIS to ensure you’re getting the credit you deserve for outcome improvements during the episode.
 
11/19/2012
HomeCare Elite agencies performed far above their non-Elite peers on several key outcome measures.
 
11/19/2012
Beginning Jan. 1, 2014, health care reform regulations require certain employers to offer affordable, minimum essential health insurance to their full-time employees or face the risk of penalties.
 
11/19/2012
The HHL team has compiled this quick-reference tool of the major survey provisions in this year’s final rule. Civil monetary penalties, suspension of payment for new admissions and the informal dispute resolution (IDR) process will take effect on July 1, 2014. All others changes are effective July 1, 2013. Survey changes can be found in section V of the rule.

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