Home Health Line
03/17/2014
Medicare administrative contractor (MAC) Palmetto GBA’s probe involving hospice patients who receive the general inpatient (GIP) level of care in skilled nursing facilities (SNFs) has resulted in a 61.1% claim denial rate over a three-month period.
03/17/2014
If President Obama’s fiscal 2015 budget were to be adopted, home health agencies would see even deeper cuts in reimbursement than they are already confronting over the next several years. 
03/17/2014
Do not rely solely on guidance the IRS recently published in a final rule that describes five factors to consider in determining whether workers are employees or independent contractors. 
03/17/2014
ecisionHealth (DH) and the National Association for Home Care & Hospice (NAHC) have joined forces with WEDI/CMS and an industry cooperative to ensure a smooth transition to ICD-10 transition for providers, payers, clearinghouses and vendors.
03/17/2014
Check with your Medicare administrative contractor (MAC) if you’d like your agency to be part of CMS’ ICD-10 claims testing.
 
03/17/2014
Medicare administrative contractors (MAC) will implement a new edit in October to deny a hospital inpatient claim with a principal diagnosis code that matches any of a hospice claim’s diagnosis codes for that patient, within the same covered period.
03/14/2014
Agencies already feeling a tsunami of scrutiny on their face-to-face documentation now have one more contractor keeping a close eye on their paperwork: StrategicHealthSolutions LLC.
 
03/14/2014
For hospice patients who received care from July 1, 2013, through Dec. 31, 2013, the average length of stay for non-cancer patients within Medicare administrative contractor Palmetto GBA’s coverage area was 141 days, according to Palmetto data..
03/10/2014
Change Request (CR) 8425, which CMS announced Feb. 20, provides recovery auditors (RACs), Medicare administrative contractors (MACs) and zone program integrity contractors (ZPICs) with an opportunity to issue even more denials.

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