Home Health Line
10/22/2012

Overlaps with claims from other providers and the submission of duplicates are the most common reasons agencies have claims rejected or returned to them, according to a Sept. 18 NGS webinar.

10/22/2012

Aging baby boomers are increasing the demand for unskilled aides who can help seniors continue living in their own homes. But what do background checks actually reveal about those aides?

10/22/2012

New England Medicare administrative contractor (MAC) NHIC has released the results of a review of claims with five to seven visits.

10/15/2012

The HHS Office of Inspector General (OIG) will turn its attention to compliance with the face-to-face encounter requirement in 2013, according to its new Work Plan published Oct. 2.

10/15/2012

Claim denials based on face-to-face encounter documentation often are the result of insufficient physician narratives, but errors relating to signatures or dates also are causing agencies to lose reimbursement.

10/15/2012

The data below show the top medical review denials for Medicare administrative contractor (MAC) CGS Administrators from November through April, the most recent review periods for which data are available.

10/15/2012

A new set of medical review topics from CGS Administrators is causing a wave of additional development requests (ADRs) for hospices and experts believe the edits may spread to other contractors.

10/15/2012

Months after a $375 million fraud indictment, the Department of Justice (DOJ) has unsealed two new indictments alleging large-scale fraud based on phony physician referrals in the Dallas area.

10/15/2012

Teach clinicians to recognize and prevent risk factors for foodborne illnesses. Such illnesses may be more common among your patients than you thought, a recent study shows.  

10/15/2012

CMS has established a new data exchange process that will enable Medicare administrative contractors (MACs) to check for missing or incorrect OASIS forms before paying claims.

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