Home Health Line
10/22/2012

Before getting into negotiations with a plan, determine whether Medicare Advantage (MA) market penetration is significant enough in your area to warrant the effort of getting a contract, recommends Barbara McCann, chief industry officer at Interim HealthCare in Sunrise, Fla.

10/22/2012

How few home health visits may a Medicare Advantage plan allow an enrollee per episode of care and still meet the requirement that plans must provide coverage for the same services as standard fee-for-service Medicare?

10/22/2012

Most of the 157 agencies responding to HHL’s face-to-face encounter denial survey have seen fewer than five denials.

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.

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