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In Case You Missed It: Home Health Compare Tool Retired, Data Refresh Delayed Until 2022

2020-12-28T15:03:01-05:00Categories: Blog, Home Health|Tags: , , , , |

Centers for Medicare & Medicaid Services announced the last refresh for the Home Health Compare is delayed until 2022 and Care Compare replaces Home Health Compare Tool. 

Reading Between the Lines – No-Pay RAP January 1, 2021

2020-12-28T15:06:42-05:00Categories: Blog, Home Health|Tags: , , , , |

Learn more about the No-Pay RAP effective January 1, 2021, what this change means for your HHA, and actions you can take now to prepare.

CY 2021 Final Home Health Payment Rule Released: What you need to know

2020-12-28T15:07:13-05:00Categories: Blog, Home Health|Tags: , , , , |

CMS released its final home health payment rule for 2021 on October 29, 2020. We’ve outlined important aspects of the final rule that home health providers need to know to stay informed and keep operations running smoothly.

PDGM: Expedite Turnaround to Bill Accurate Claims by Optimizing Order Management Process

2020-01-03T13:33:57-05:00Categories: Blog, Home Health|Tags: , , , , |

Home health organizations depend on their staff and tracking systems for a quick and efficient order management process. Order management is a key component within the revenue cycle process, as the collection of physician documentation is required to initiate any billing process. A bill cannot be generated without first obtaining all necessary orders.

What Your Agency Needs to Know About Targeted Probe & Educate

2020-09-22T14:51:29-05:00Categories: Blog, Home Health|Tags: , , |

On October 1, 2017, Centers for Medicare & Medicaid Services began the Targeted Probe and Educate program to help providers reduce claim denials and appeals through one-on-one education. Each Medicare Administrative Contractor, studies the claim data submitted by each provider to determine providers who have high potential for claim error rates or unusual billing practices.

Six Essential Steps to Building a Payer Matrix

2019-12-04T15:01:59-05:00Categories: Blog, Home Health|Tags: , |

A well thought out payer matrix can become the central knowledge base of any revenue cycle department. It’s a resource that will serve many operational purposes and ensure that organizational knowledge is well distributed without being lost.

Three Important Factors of the Review Choice Demonstration for Home Health Services

2019-12-12T11:45:32-05:00Categories: Blog, Home Health|Tags: , , , , |

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.

New Medicare Beneficiary Identifier and What It Means for Providers

2019-12-04T15:07:35-05:00Categories: Blog, Home Health|Tags: , , |

April of 2018 marks the beginning of Medicare’s transition to the new Medicare Beneficiary Identifier (MBI) which is slated to replace the current Health Insurance Claim Number (HICN) as the primary identifier for its beneficiaries.

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