Home Health Line
10/12/2009
Organizations representing much of the industry have given CMS a big thumbs up to its proposed 10% cap on outlier payments, but there still are some questions about how and
10/12/2009
CMS’s proposed 10% outlier cap (see story, “Home care associations question timing of the outlier recoupments”) isn’t the only 10% figure to keep an eye on.
10/12/2009
Comments on CMS’s proposed 10% outlier cap (see story, “Home care associations question timing of the outlier recoupments”), were favorable. However, commenters are taking aim at other CMS-proposed changes, published
10/12/2009
The Office of Inspector General released its 2010 workplan Oct. 1, and it outlines plans to investigate the following home health topics:Revenue and profit. OIG is suspicious of HHA revenues
10/12/2009
Agencies need to refine their systems for identifying patients at risk for hospitalization this flu season, especially if patient care is interrupted by the H1N1 outbreak.
10/12/2009
Agencies may be one step closer to receiving reimbursement for home visits to high-cost beneficiaries with multiple chronic illnesses.
10/12/2009
Abt Associates created this assessment tool to help agencies identify patients who would be at greater risk for hospital admissions if their home health visits were delayed or interrupted because of an H1N1 outbreak. During such an outbreak, nurses might have to stay home with their kids and they might not be able to make all of their scheduled visits.
10/05/2009
Demand for H1N1 flu vaccines has caused an unexpected reduction in seasonal flu vaccines that is threatening flu clinics sponsored by more than 100 VNAs across the country.
10/05/2009
Better work with physicians to get newly required documentation of a patient’s need for hospice or your payments could be denied starting Oct. 1.
10/05/2009
Possible scenario: Your agency wins an appeal at the administrative law judge level (ALJ), which means it actually didn’t owe Medicare $700,000 in payments your contractor recouped two years earlier.

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