Home Health Line
06/22/2015
CMS wants to make home and community-based care one of the services Medicaid managed care plans are obliged to offer their enrollees, which could mean more business for home care agencies willing to accept managed care rates. 
 
06/22/2015
CMS has cleared 300,000 hospital claims from the Medicare appeals backlog, potentially freeing up administrative law judges (ALJs) to focus on appeals from other providers. 
 
06/22/2015
A U.S. District Court judge has certified a nationwide class-action lawsuit filed on behalf of beneficiaries challenging Medicare’s failure to render decisions at the ALJ level within 90 days. 
 
06/22/2015
The Office of Medicare Hearings and Appeals (OMHA) will hold its next Medicare appellant forum 1 p.m. to 4 p.m. EST June 25. The forum will address the backlog of appeals at the administrative law judge level.
 
 
06/22/2015
Slashing your employees’ hours to avoid providing insurance that complies with the Affordable Care Act (ACA) could expose your agency to a class action lawsuit like the one filed May 8 against a national restaurant and entertainment chain.
 
 
06/22/2015
by: BKD
Average Medicare home health revenue cycle performance results in 35 days in accounts receivable, while non-Medicare often results in 60 to 75 days, according to BKD in Springfield, Mo.
06/22/2015
he 2015 Home Health Pricer currently uses a table that contains incorrect case-mix weights for all HIPPS codes beginning with 4, CMS says in change request 9198 released. The change request was released June 1. 
06/22/2015
A major hospital initiative CMS announced July 9 involving hip and knee replacement patients will serve as another opportunity for home health agencies to try to bolster relationships with potential referral sources.
 
 
06/15/2015
Assess your intake department’s knowledge level immediately so you’ll know what types of training employees need in advance of ICD-10.
 
06/15/2015
Have clinicians follow up the next day when patients have a change in pain medications or increased pain and your agency will decrease readmissions related to uncontrolled pain.
 

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