Home Health Line Breaking News
11/12/2012
The HHS Office of Inspector General has advised a hospital-based hospice it won’t challenge a plan by the hospice to coordinate free, non-skilled services for beneficiaries who may require Medicare hospice services in the near future.
11/07/2012
CMS is implementing a change that ensures you’ll get the full payment you’re owed when partial episode payment (PEP) adjustments are erroneously applied to dual eligibles’ claims.
 
The change will be effective for home health episodes ending on or after Jan. 1, 2010.
 
11/02/2012
(Updated at 4:10pm on Nov. 5)
 
The final 2013 PPS rule for home health will decrease payments by only 0.01%, but includes new sanctions for CMS surveys and clarifications of the face-to-face encounter and therapy requirements. 
 
 
11/01/2012
Region A recovery auditor (RAC) Performant Recovery has posted two new complex review topics for home health claims.
 
The first issue will examine claims for patients in their third or later episode for medical necessity.
 
10/31/2012
A new study published in the New England Journal of Medicine points to miscommunication between terminal cancer patients and their care providers.
 
The study found that 69% of patients with metastiatic lung cancer believe therapy will cure them.
 
10/23/2012

(Updated 9:30am on Oct. 24)

A proposed settlement to a class-action lawsuit could make collecting reimbursement easier when providing medically necessary services to maintain patients’ abilities or slow their progression of decline.

 

10/22/2012

You won’t need to file a separate 855A enrollment application for a new location in another state if a set of five specific conditions is met, CMS says in a new transmittal dated Oct. 19.

CMS also adds some new instructions on changes of ownership.

10/18/2012

CMS declines to endorse the recently validated Missouri Alliance for Home Care (MAHC) tool in its October 2012 OASIS Q&As, published yesterday.

"CMS does not approve or disapprove individual tools," according to Answer 7 of the Q&As.

10/16/2012

Home health company Amedisys today announced a new deal with insurer Humana to serve plan patients on a per-visit basis.

Under a previous deal, Humana had paid Amedisys per episode.

10/12/2012

The Missouri Alliance for Home Care (MAHC) has successfully validated a multi-factorial tool that agencies will be able to use to mark "yes" on M1910 (Falls risk assessment).

Previous tools used for the assessment had either lacked validated status or were not multi-factorial.

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