Home Health Line Breaking News
04/22/2013
CMS will expand its recovery auditor (RAC) program in 2014, adding a fifth RAC that will have jurisdiction nationwide, though only over home health, hospice and DME audit targets.
 
Meanwhile, the four existing RACs, which have limited jurisdiction by state, will focus exclusively on Medicare Part A and Part B audits.
 
04/18/2013
The ambulation outcome measure inched up by one percentage point to 59% in CMS’ April 18 update of the Home Health Compare website.
 
Otherwise, changes in this latest update were confined to the process measures.
 
04/16/2013
This story was updated at 11:55 am on April 17.
 
CMS will lift its hold on home health final claims on April 17. The hold had been caused by an issue with the latest system update.
 
 
04/12/2013
Some 40% of agencies billing to Palmetto would have seen at least one denial in January or February if the edit for attending physician enrollment in PECOS had been active.
 
Palmetto’s analysis, published April 10, comes on the heel of a similar one by CGS.
 
04/10/2013
The Obama administration’s budget proposal for 2014 includes a $100 copay for certain episodes and market basket reductions of 1.1 percentage points over several years.
 
The copay would be implemented starting in 2017.
 
04/08/2013
Recovery auditor Connolly will conduct automated reviews to detect invalid HIPPS or treatment authorization codes.
 
Both issues were approved by CMS April 1, according to the contractor’s website.
 
04/04/2013
CMS has issued its first official statement on how it will implement the class action settlement to end Medicare’s “improvement standard.”
 
“Any actions undertaken in connection with this settlement do not represent an expansion of coverage," CMS notes.
 
04/03/2013
CMS will no longer require you to apply a modifier to visits not ordered by the certifying physician for episodes starting on or after July 1.
 
That’s the upshot of a transmittal published on the federal Medicare agency’s website April 3.
 
04/02/2013
Due to problems with CMS’ quarterly systems release, certain claims with service “through” dates on or after April 1 won’t be released for processing until April 15, CMS announced late Monday.
 
The glitch affects all home health final claims with those through dates.
 
03/29/2013
The long-term care commission created by the “fiscal cliff agreement” added its last three members this month and is ready to start work.
 
The commission is tasked with finding a replacement for the long-term insurance provision in the Affordable Care Act.
 

Login

User Name:
Password: