Home Health Line
07/01/2013
As part of a recent review, Medicare administrative contractor Palmetto GBA evaluated the medical necessity of claims with HIPPS codes 2CGK* and 1BGP*. 
07/01/2013
 
Many home health agencies are budgeting less than $5,000 for their overall transition to ICD-10, illustrating experts’ concerns that agencies are underestimating the cost of the coding switch.
06/27/2013
CMS’ proposed 2014 PPS rule implements sweeping payment revisions and provides a glimpse of what case mix could look like under ICD-10.
 
06/25/2013
The chairmen and ranking minority members of the House Ways & Means Committee and the Senate Finance Committee recently sent this letter to the National Association for Home Care & Hospice and other organizations with a stake in post-acute care. The letter asks for suggestions as to the best design for bundled post-acute payments.
06/25/2013
CMS has published its first draft of the OASIS-C1 form, a revision of the patient assessment instrument designed to accommodate ICD-10 codes.
 
06/24/2013
You’ll have to include HIPPS codes on claims filed with Medicare Advantage plans starting July 1 or face claims rejections. The financial impact could be significant, considering agencies and software vendors have received little notice of the new requirement.
06/24/2013
Don’t limit education on transitional care management (TCM) codes to your referring physicians. Instead, contact physicians’ office and billing managers directly to get in the door and grow referrals.
 
 
06/24/2013
The visit authorization delays and denials home health agencies long have experienced in serving Medicare Advantage (MA) enrollees show no signs of going away. But a new letter from the Home Care Association of Florida (HCAF) to a key senator aims to provide relief for the ever-worsening situation.
 
 
06/24/2013
More than one in ten agencies already have begun using TCM information in their marketing, according to 181 responses to HHL’s 2013 Medicare referrals survey. (See related story) Another 46.8% indicated they plan to add TCM codes to their pitch.
 
 
06/24/2013
Medicare Advantage referrals come with visit authorization hold-ups and other problems, but there are ways to minimize your financial risk for those patients.
 

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