Home Health Line
06/10/2013
A new report by the HHS Office of Inspector General (OIG) shows the size of the problems CMS is trying to fix before implementing long-delayed denials for home health claims that list physicians with no record in the provider enrollment, chain and ownership system (PECOS).
 
06/10/2013
Adopt a process now to arrive at more specific diagnoses for hospice patients with debility or adult failure to thrive. Moving quickly on this will help you minimize payment delays after CMS starts returning claims with those diagnoses in the principal slot.
 
06/10/2013
Ignorance of what fair labor standards demand of employers is no excuse, a federal judge’s recent opinion in a home health case makes clear.
 
06/10/2013
Cloud-based software may be your key to protecting patient information and minimizing the risk of hefty fines for data breaches under the Health Insurance Portability and Accountability Act (HIPAA) mega-rule.
 
06/10/2013
Agencies in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont will soon get a new Medicare administrative contractor.
06/05/2013
In the wake of its announcement that it will “begin a more comprehensive review” of face-to-face documentation, Medicare administrative contractor (MAC) Palmetto GBA has released four steps it will use to evaluate that documentation.
 
06/03/2013
More claims might be denied now that Medicare administrative contractor (MAC) Palmetto GBA has announced it will “begin a more comprehensive review” of face-to-face documentation.
 
06/03/2013
Employers would be complying with requirements of the Affordable Care Act (ACA) if they offer employees a plan with a $3,500 combined medical and drug deductible and a $6,000 cap on workers’ out-of-pocket costs.
 
06/03/2013
If you think you have three years after your recent CMS survey until you’ll face another one, you could be in for a surprise: In response to an HHS Office of Inspector General (OIG) recommendation, CMS staff members could soon conduct a follow-up survey to double-check the work of your state surveyor.
 
06/03/2013
CMS has directed its Medicare administrative contractors (MACs) to issue lump-sum refunds to those home health agencies they incorrectly recouped money from due to a recent software glitch involving millions of dollars in outlier payments.
 

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