Home Health Line
05/09/2011
CMS has updated the Medicare General Information, Eligibility and Entitlement Manual’s section on certification requirements to reflect the physician face-to-face encounter rule.
05/09/2011

CMS resolves RAP issue related to timely filing. CMS has instructed intermediaries not to apply timely claims filing requirements to requests for anticipated payment (RAPs). Intermediaries had been returning RAPs

05/09/2011

Under revised state survey protocols effective May 1, agencies could be cited for a highest-priority standard under the “comprehensive assessment of patients” condition of participation if there’s no evidence of a comprehensive medication review.

05/09/2011

Appeal any hospice cap demands this year and you’ll most likely have your overpayment charge reduced now that CMS has ruled all proper appeals will be automatically remanded to intermediaries

05/02/2011

You will need to work harder than ever to ensure your agency’s visit notes and other clinical records don’t raise red flags with CMS state surveyors after revised survey protocols

05/02/2011

New Medicare Advantage rules affirm that the plans generally are obligated to pay out-of-contract providers the same prospective payment they’d get under standard fee-for-service Medicare.

05/02/2011

Your internal software vendor likely has added a free therapy tracking feature that enables you to alert both your office scheduler and field clinicians to CMS’ new therapy assessment deadlines

05/02/2011

A discharge OASIS is not required for patients for whom the face-to-face encounter requirement is not met within the first 30 days of an episode.

05/02/2011

Hospice reimbursement revisions would be tested in pilot programs and the face-to-face physician encounter completion timeframe would be extended if Congress passes a new Senate bill introduced this month.

05/02/2011

Look for part-time caregivers or caregivers outside of a diabetic patient’s family who can help with insulin injections to avoid exceeding CMS’ cap on outlier payments.

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