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1 November 2019 - 14:20, by , in Blog, Post Acute, Comments off
CMS issued the CY 2020 Home Health Prospective Payment System Rate Update, which finalized changes for PDGM. In the final rule, the behavioral adjustment has been lowered to 4.36%.
29 August 2019 - 10:24, by , in Blog, Post Acute, Comments off
Last October, Palmetto, one of the nation’s largest Medicare Administrative Contractors to the federal government, released their Electronic Comparative Billing Report (eCBR) for 2018 data between April 1 – September 30 that focused on hospice providers’ Non-Cancer Length of Stay (NCLOS) rates.
PDGM Compliance Risk Areas
25 September 2018 - 10:06, by , in Blog, Compliance, Comments off
More than any of the very complex modifications contained in the Patient-Driven Groupings Model, the most important enhancements emphasize the dire need for all agencies to have a solid and well-functioning episode management program in place before January 1, 2020.
27 July 2018 - 14:55, by , in Blog, Compliance, Comments off
The July release of the Home Health OASIS July 2018 Quarterly Q&As brings promise that CMS is back on track to continue quarterly updates that address agency OASIS questions. Perhaps, one of the most complex responses was the insight provided on “what is” and “what is not” a surgical wound in the context of PleurX catheters.
15 December 2017 - 10:18, by , in Blog, Compliance, Comments off
Check out these tips when coding blindness and low vision. Documentation training and education is crucial to correctly code blindness and low vision conditions. Category-level tabular instruction at H54.- (Blindness and low vision) requires...
Hospice Targeted Probe and Educate
9 November 2017 - 14:39, by , in Blog, Compliance, Comments off
Last month, Centers for Medicare and Medicaid Services (CMS) expanded the Targeted Probe and Educate (TPE) to include Hospice.
30 August 2017 - 18:28, by , in Blog, Compliance, Comments off
Due to the success of the Probe and Educate pilot from June 2016 to July 2017, CMS has announced that it will expand the initiative to all Medicare providers...
Utilization Review
26 March 2018 - 12:07, by , in Acute, Blog, Comments off
Centralizing Utilization Review Functions is a cost-saving quality improvement measure, closes gap in coverage due to inter-rater reliability. Many forward-thinking organizations recognize the negative financial impact of inaccurate or non-existent UR. Learn how it's worked for a large, newly formed health system...
21 December 2017 - 11:27, by , in Acute, Blog, Comments off
With little time until the 2018 Medicare OPPS final rule goes into effect, finance leaders should take action now to address the key issues that may impact their organizations both financially and operationally.
4 August 2017 - 18:26, by , in Blog, Post Acute, Comments off
CMS unveiled its new home health prospective payment system (PPS). This brings a major overhaul of how home health care agencies could be paid in 2019...