Home Health Line
02/25/2013
Make sure your software will help you prevent payment delays by capturing information on physician orders and service locations easily and accurately.
 
02/25/2013
Make sure you have a process in place to mitigate risk after a patient data breach. Experts believe the government is expanding Health Insurance Portability and Accountability Act (HIPAA) enforcement to smaller providers following the mega-rule’s release.
 
02/25/2013
Note that all the amounts are per violation and per calendar year. Multiple violations of the same Health Insurance Portability and Accountability Act (HIPAA) provision in the same year can add up to a maximum of $1.5 million. However, if your agency also has violated other provisions, those penalties would be calculated separately, meaning your total could be above $1.5 million in those cases, according to the mega-rule.
 
02/25/2013
Prevent denials that could result from a new medical review edit for HIPPS codes that designate episodes just above or below the 14-visit payment threshold.
 
02/25/2013
Palmetto GBA has flagged two HIPPS codes for medical review edits. Here’s a look at those codes, their corresponding HHRGs and some clues as to what services they represent.
02/25/2013
The data below show the five HIPPS codes with the highest rate of denials from Medicare administrative contractor (MAC) Palmetto GBA.
 
02/25/2013
If you got a comparative billing report (CBR) in January, get ready for another: The initial reports sent by CMS contractor SafeGuard Services contained errors that will be corrected in new versions the contractor plans to send around Feb. 25. Once you get that corrected report, use it to shape your internal audits and staff training.
 
02/25/2013
Trade a possible 3% discount on Medicare’s standard episode payments for a share of overall savings potentially larger than that and you have a motive for home health participation in CMS’ first demonstration of bundled payments to post-acute providers.
 
02/25/2013
CMS will clarify its instructions on reporting a new modifier to address questions it has received since the original transmittal was released.
 

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