Home Health Line
03/11/2013
Carefully track Medicare-covered therapy visits “on an ongoing basis” to prevent non-covered visits following a missed reassessment. That’s the latest advice from CMS in therapy Q&As released March 1.
 
03/11/2013
Starting May 1, claims will be denied if the physician listed on them doesn’t have a record in the provider enrollment, chain and ownership system (PECOS), raising the potential of significant cash flow interruptions. You can minimize that potential by encouraging physician holdouts to enroll now.
 
03/11/2013
Starting May 1, all Medicare administrative contractors (MACs) will implement an edit which looks for claims with the following characteristics, according to CMS’ March 1 MLN Matters article.
03/11/2013
Agencies may add a title and date to face-to-face encounter documentation in cases where the certifying physician forgets to do so.
 
03/11/2013
Your agency soon could find it easier to provide care to veterans under a proposed rule that would eliminate burdensome federal contracting requirements and pay providers at the going Medicare or Medicaid rate, whichever is higher.
 
03/11/2013
Compare costs and features and earn substantial discounts by negotiating for the whole agency when you select a roadside assistance plan for clinicians. Though the packages do come at a cost, experts say they can be valuable in the long term, particularly for those who frequently drive significant distances to reach patients.
 
03/11/2013
The table below shows how your payment changes based on the HHRG, episode timing and number of therapy visits under the final 2013 PPS rule. Therapy visit count changes in that rule are putting agencies at risk of dropping to a lower reimbursement level.
03/11/2013
The table below illustrates a scenario from CMS therapy Q&As released March 1. The scenario is designed to show the impact of a missed reassessment on subsequent visits. Note that the missed reassessment in the scenario results in four non-covered visits, downgrading the episode from 23 to 19 Medicare-covered therapy visits.
 

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