As the Centers of Medicare & Medicaid Services continues to increase reviews to ensure hospice agencies remain compliant, it is crucial to ensure your are properly managing Additional Development Requests and appeals. Discover current process trends, best practices to follow, and how effective teamwork can lead to long-term success.
Review Choice Demonstration is in full cycle in Illinois, Ohio, North Carolina, Florida, and Texas. In June 2021, Palmetto GBA posted the top reasons for non-Affirmation and claim denials, many being related to Face-to-Face encounters.
Gain insight into practical methods for initiating and maintaining a clinical compliance program, including auditing, monitoring and reporting to minimize risk.
At the end of May 2018, CMS released a notice to providers describing their intention to implement an updated version of the previously paused Pre-Claim Review Demonstration. The revision is titled “Review Choice Demonstration for Home Health Services (RCD). Providers in the RCD states should not wait to act.
Should your agency receive a ZPIC Audit being prepared is a key step to ensure documentation and billing compliance. Taking a proactive approach is necessary. Learn from our clinical compliance expert, Dee Geray, about the best steps to take to prevent a ZPIC audit...