Home Health Line
11/18/2013
Medicare administrative contractors (MAC) have a green light from CMS to begin denying home health claims, effective Jan. 6, 2014, when the referring physician isn’t listed by national provider identifier (NPI) in CMS’ provider enrollment system, PECOS.
 
 
11/18/2013
Agencies should look for new guidance in February 2014 when CMS will issue instructions that may tell surveyors how to determine when to impose a sanction and whether they should impose sanctions after one survey.
 
 
11/18/2013
Prepare thoroughly for a hearing at the Administrative Law Judge (ALJ) level to avoid delays because, as HHL went to print, the average processing time for appeals was already 201 days.
11/18/2013
Encourage your staff to take a new free online course to detect the potential for and avert workplace violence to avoid potential penalties for safety violations and workers’ compensation claims.
 
 
11/18/2013
The Joint Commission is emphasizing the importance of policies to protect private duty caregivers from smoking-related health and safety risks they might face in clients’ homes.
 
 
11/18/2013
Roughly 70% of the denials Medicare administrative contractor (MAC) Palmetto GBA issues are for face-to-face encounter requirements not met, new data show.

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