Advanced Search

Home Health & Hospice Week

Prospective Payment System:
USE THIS CONTINGENCY PLAN IF YOU'RE IN PPS BILLING LIMBO
HAVEN will be out Dec. 21, CMS pledges.Home health agencies that will ring in the new year... Read more
Prospective Payment System:
PPS MAY UNDERPAY YOU FOR SOME EPISODES, CMS WARNS
Add these 2 newly revealed problems to your billing to-do list.You'll have to do some extr... Read more
Legislation:
HOME CARE PROVIDERS DECLARE BUDGET VICTORY--FOR NOW
Quick doc fix will mean it's back to the drawing board early next year.Home health agencie... Read more
Compliance:
EDUCATE NEW PATIENTS--BUT HEED THESE GUIDELINES
One vital tip from the OIG: Don't personalize offerings.Don't miss this new federal guidan... Read more
Competitive Bidding:
NEW COURT CASE CHALLENGES BIDDING RULE
Focus is protection for small players.If you're worried that competitive bidding will caus... Read more
Therapy:
STAY OUT OF FEDS' CROSSHAIRS WITH THERAPY TRANSITION
Watch out for artificial gaps in therapy visit distribution.You'd better identify and fix ... Read more
Medical Review:
INTERMEDIARY PROBES FOCUS ON DIAGNOSIS, OASIS CODING
Medical reviewers are getting serious about coding validity as PPS changes take effect.If ... Read more
Education:
ADDRESS CODING AND BILLING HOT TOPICS WITH THESE EDUCATION OPPORTUNITIES
Plus, get 15 percent off your next audioconference. Five Eli-sponsored audioconferences... Read more
Lawsuit:
TAX CASE TRIUMPH VINDICATES AGENCY
Government must pay HHAs' attorneys' fees, costs in unprecedented award.Not-for-profit pro... Read more
Industry Notes:
OIG SPOTLIGHTS DIAGNOSIS UPCODING FRAUD
Home care execs are on the hook for alleged fraud.Home care providers can expect continued... Read more
Prospective Payment System:
FOCUS ON THESE 11 CRUCIAL AREAS AS YOU TRANSITION TO NEW PPS
Diagnosis coding will be more important than ever to your bottom line.You have a few short... Read more
Reimbursement:
GET YOUR CASH FLOW READY FOR THE PPS SWITCH
Don't get stuck by possible claims delays.Hope for the best but prepare for the worst--tha... Read more
Accreditation:
'TIS THE SEASON TO SEEK ACCREDITATION
Feds set to grant suppliers gift of firm deadline.Home medical equipment suppliers will so... Read more
Budget:
LAWMAKERS' HOLIDAY WRANGLING MAY NOT BRING JOY
Last minute 'fix' could break suppliers."It's never too late" is a motto you may want to t... Read more
Legislation:
CONGRESSIONAL NEGOTIATIONS, MEDPAC DISCUSSIONS PUT 2008 PAYMENT RATES IN PERIL
HHAs' continuing high average profit margins may seal their fate next year.Home care provi... Read more
Fraud & Abuse:
BEWARE BAD PRESS IN POLICY FIGHT
Negative reports' timing couldn't be worse.Now may be the perfect time to try to gain some... Read more
Industry Notes:
MEDPAC EXPECTS CODING CHANGES FROM HHAs IN 2008
Growth of Medicare-certified agencies slows this year.Home health agencies aren't the only... Read more
Prospective Payment System:
ALL SYSTEMS GO FOR PPS TRANSITION, CMS SAYS
Hospice coding change still taking effect Jan. 1, CMS says in forum.The feds are expecting... Read more
Competitive Bidding:
ROUND TWO NEARLY UPON BIDDING SUPPLIERS
Fraud demo agencies should receive their reenrollment letters by end of January.Durable me... Read more
Hospice:
PROCEED WITH CAUTION ON COST-PER-VISIT COMPUTATION
These 3 tips can get you off to a good start.You have until the summer to begin reporting ... Read more
Reimbursement:
UNDERSTAND FEDS' HOSPICE NUMBER CRUNCHING TO STAY IN THE GAME
Don't think the dollar amounts won't matter.As you begin honing the cost-related numbers y... Read more
Therapy:
TIGHTEN UP YOUR THERAPY DOCUMENTATION UNDER PPS REFINEMENTS
One sloppy record entry could cost you hundreds of dollars under the prospective payment... Read more
Legislation:
2008 BUDGET NEGOTIATIONS GET SERIOUS
Stay alert as next year's rates are hammered out in Washington.Home health agencies and ox... Read more
Industry Notes:
HHAs AND HOSPICES ENJOY LOW MEDICARE ERROR RATES
Suppliers reach both ends of error spectrum, CERT report shows.Home health agencies and ho... Read more
Prospective Payment System:
PREPARE NOW FOR PPS REVISIONS IN THESE 10 HOT SPOTS
Diagnosis coding could make or break you in 2008.The biggest changes to the prospective pa... Read more
Kickbacks:
CHECK THIS LIST TWICE BEFORE GIVING GIFTS
New Stark II refinements change little--but plenty of caution is still in order.Bear too m... Read more
Pay For Performance:
YOU HAVE A FEW MORE WEEKS TO ENROLL IN P4P DEMO
Keep tabs on this payment experiment.You don't need a crystal ball to see your pay for per... Read more
Compliance:
TAKE A FRESH LOOK AT YOUR BENEFICIARY GIFT-GIVING
Regulators could construe goodwill as influence.You may feel compelled to help disadvantag... Read more
Hospice:
START HERE TO SORT OUT NEW REPORTING RULE
New missive addresses social worker visits.Hospices now have a few more clues from the fed... Read more
Industry Notes:
KEEP AN EYE ON WASHINGTON THIS MONTH
Your 2008 payment rates are on the budget chopping block.The clock is ticking on this year... Read more
Prospective Payment System:
BEWARE THESE 3 PPS SECRETS
V codes, manifestation codes and LUPAs may not work the way you think.If you're looking fo... Read more
Accreditation:
AGENCIES GET NEW PUSH TOWARD ACCREDITATION
Deeming could be alternative to going state agency route.Home health agencies gearing up f... Read more
Survey & Certification:
CHANCES GOOD FOR BIG PUSH TOWARD DEEMING
Revalidation requests stretch resources.When Medicare certification is on your to-do list,... Read more
OASIS:
UNDERSTAND THESE MAJOR OASIS CHANGES BEFORE PPS HITS
You may have to adjust your PT eval timing, according to CMS.If you feel like there are a ... Read more
Hospice:
REPORT--HOSPICE SAVES MEDICARE BIG BUCKS
Longer stays maximize savings, researchers say.Hospices should welcome a new study touting... Read more
Industry Notes:
EXAMINE NEWEST INCARNATION OF OASIS REVAMP
You could be using the new assessment within 18 months.An even newer version of the change... Read more
Prospective Payment System:
GET READY FOR SUPPLIES REQUIREMENT TO HIT IN 2008
You'll have to report supplies by new deadline or face returned claims.Home health agencie... Read more
Supplies:
KNOW THE INS AND OUTS OF NRS REIMBURSEMENT
This knowledge will be crucial to avoiding payment delays in 2008.The new supplies reimbur... Read more
Studies & Surveys:
BEWARE NEW REPORT ON PMD PRICING
Industry: Feds compare apples to oranges.A study that sent federal researchers searching f... Read more
OASIS:
GET OASIS DATE REQUIREMENTS STRAIGHT AS PPS APPROACHES
CMS wants you to enter different dates in M0090 for end-of-year window.The transition to t... Read more
Hospice:
HOSPICE CLAIMS REQUIREMENTS WARRANT CLOSE WATCH
Welcome reporting reprieve -- but stay vigilant, experts warn. The feds are giving ho... Read more
Competitive Bidding:
BIDDING PROGRAM'S FUTURE COULD HINGE ON CONGRESS' ACTION
Could subcommittee hearing kick start a campaign for change?If you are a small supplier of... Read more
Industry Notes:
NEW REQUIREMENTS FOR THERAPISTS TO HIT IN 2010
Your therapists could qualify for grandfathering, thanks to CMS' change of heart.Some home... Read more
Billing:
TACKLE THESE 9 BILLING TO-DOs BEFORE PPS REFINEMENTS HIT
M0110 accuracy could make or break your 2008 claims.Your prospective payment system billin... Read more
Reimbursement:
MASTER THESE NEW PPS CODES
Put new focus on revamped OASIS matching string.To get a handle on billing under the comin... Read more
Competitive Bidding:
2 COURT CASES COULD PUT BRAKES ON BIDDING RULE
Lack of protection for small suppliers highlighted in upcoming Cleveland case.Don't miss t... Read more
Legislation:
FIGHT AGAINST BIDDING CONTINUES IN WASHINGTON
Lawmakers to hear small suppliers' concerns in hearing.An Oct. 31 hearing before a House s... Read more
Prospective Payment System:
PPS REFINEMENTS TOP HHAs' WORRY LIST
Agencies in South, rural areas to see biggest PPS hit.You should take the coming prospecti... Read more
Compliance:
SURVEY FEES MAY BE CLOSER THAN YOU THINK
Interim final rule boosts the feds' authority.An interim final rule announced just before ... Read more
Industry Notes:
NEW NPI DEADLINES FAST APPROACH
You'll have to get your referring docs' NPIs straight by May.In the hubbub over PPS refine... Read more
OASIS:
AGENCIES SEE ONLY UPSIDE IN P4P DEMO
Climb on board the P4P train to test and improve the coming payment structure.You have one... Read more
Pay For Performance:
GET A SNEAK PEEK AT P4P
Demonstration project may be a sign of things to come.Even if you're not in one of the sev... Read more
Quality:
SHARPEN YOUR QUALITY IMPROVEMENT SKILLS
Demo will judge agencies on 7 measures.If you haven't jumped on the bandwagon to improve h... Read more
Fraud & Abuse:
NEW POLICIES COULD SNARE YOUR BILLING PRIVILEGES
Enrollment fraud demo to start Oct. 31.You'll do well to count the reasons the feds' Form ... Read more
Enrollment:
KNOW THE REENROLLMENT ROPES--OR RISK ALL
Even a new phone number can trigger an 855 submission.Be prepared for a challenge when it'... Read more
Surety Bonds:
WATCH FEDS FOR FINAL RULE ON SURETY BONDS
Industry wants major changes to the proposed bonding requirement.A rule that would require... Read more
Industry Notes:
CUT YOUR PATIENTS' FALLS RISK WITH THESE IDEAS, REPORT SAYS
Home health agencies top list of best falls prevention programs.If you're looking for ways... Read more
Prospective Payment System:
HIPPS CODES INCREASE 1100% UNDER PPS REFINEMENTS
Can you handle 1,836 new HIPPS code? Home health agencies are doing a double take abo... Read more
Pay For Performance:
PAY FOR PERFORMANCE DEMO TO LAUNCH IN 7 STATES
Test P4P program slated to start Jan. 1.Home health agencies in seven states will have a c... Read more
Competitive Bidding:
FOR BIDDERS, NEW GAME MAY BE 'WAIT-AND-SEE'
Round one may be a knock-out for beneficiaries, experts predict.The feds remain mum about ... Read more
Hospice:
STAY TUNED TO CLEAR UP CLAIMS QUESTIONS
Tip: Count only visits for direct care.The feds are holding their ground on the Jan. 1 sta... Read more
Studies & Surveys:
TAP THIS REPORT FOR HOSPICE PLANNING INSIGHTS
Alaskans lag in hospice admissions.A new national study could help you market your hospice... Read more
Education:
MASTER THE PPS FINAL RULE BEFORE IT'S TOO LATE
Register for these audioconferences on PPS billing and therapy. You have about two mon... Read more
Industry Notes:
THE WAIT IS OVER--OASIS FORM FOR PPS REVISIONS FINALLY AVAILABLE
Get used to the changes that you'll have to use as early as Dec. 27.You have only a few sh... Read more
Diagnosis Coding:
PREPARE NOW FOR MAJOR CODING SHIFT IN CLINICAL DIMENSION
Interactions between codes, OASIS items will shake things up in the new year.Simple d... Read more
Prospective Payment System:
NOTE THESE CLINICAL DIMENSION CHANGES
To obtain the payment you deserve under the new prospective payment system, you need to be... Read more
Reimbursement:
GET TO KNOW YOUR NEW CASE MIX DIAGNOSES
Learn these 2 additional categories for ostomies.The Centers for Medicare & Medicaid S... Read more
Regulations:
TEST OUT NEW PPS GROUPER
Home health agencies waiting on pins and needles for new PPS grouper software heaved a sig... Read more
Hospice:
DATA COLLECTION COULD EQUAL PAYMENT DRAIN
Changes to claims ill-timed, experts say.Payment delays and even denials could greet you i... Read more
Billing:
GET ANSWERS TO TOP HOSPICE CLAIMS QUESTIONS NOW
Tip: Include weekly breakdowns on monthly claims.You have only a few months to master chan... Read more
Industry Notes:
KEEP AN EYE ON NEW MEDICARE LEGISLATION
Cuts could develop quickly as congressional session winds down.Previously proposed cuts to... Read more
Education:
MASTER THE PPS FINAL RULE BEFORE IT'S TOO LATE
Register for these audioconferences on PPS refinements, billing and therapy. • &... Read more
Prospective Payment System:
DON'T LET PAYMENT CHANGES TAKE YOU BY SURPRISE
Get ready for a totally revamped reimbursement process starting Jan. 1.Big money changes a... Read more
Reimbursement:
FIND YOUR NEW PAYMENT CATEGORIES WITH THIS CHART
More steps may mean more equitable reimbursement.To get started calculating your payments ... Read more
Prospective Payment System Tool:
CALCULATE YOUR PPS PAYMENTS -- HERE'S HOW
Here's an example from Mark Sharp of BKD in Springfield, MO of how you should calculate pa... Read more
Quality Improvement:
MAKE QUALITY YOUR BUSINESS -- OR PAY THE PRICE
The buck stops with the board of directors, study says.You have a new reason to take stock... Read more
Compliance:
ASK THESE 3 QUESTIONS TO KEEP QI ON TRACK
Small players aren't exempt from this task.Oversight and more oversight: That's the role t... Read more
Hospice:
PLAN NOW TO KEEP NEXT YEAR'S BILLING ON TRACK
Delay is possible, but don't count on it.Big changes in hospice billing are on their way, ... Read more
WE NEED YOUR HELP -- LAST CHANCE!
We need your input to be sure each issue of Eli's Home Care Week continues to target the c... Read more
Education:
MASTER THE PPS FINAL RULE BEFORE IT'S TOO LATE
Register for these audioconferences on PPS refinements, therapy and billing. • &... Read more
Industry Notes:
KEEP WATCH FOR THE NEXT BUDGET THREAT
One assault down, probably more to go.Home care providers heaved a sigh of relief when Con... Read more
Therapy:
BRACE FOR THERAPY SCRUTINY UNDER PPS CHANGES
Will 6, 14 visits become the new 10? Get ready for a complete overhaul of how therap... Read more
Prospective Payment System:
PREPARE FOR THERAPY REVAMP WITH THESE 5 TIPS
Your documentation had better be airtight. In three short months your agency will need to ... Read more
Competitive Bidding:
CHECK AND RECHECK T KEEP YOUR BID ON TRACK
Deadline draws near.All of your hard work could be for naught without careful attention t... Read more
Assessment:
GET READY NOW FOR THE POST-ACUTE ASSESSMENT PROJECT
Small agencies could struggle under burden of yet another new form. You have only days lef... Read more
Regulations:
MONITOR ASSESSMENT REFORM WITH THESE KEY DATES
Time is running out to sign on. Stay current on developments in Medicare's plan to standar... Read more
Industry Notes:
HOME CARE MAY DODGE BUDGET BULLET THIS MONTH
But don't count on 2008 payment rates quite yet. It looks as though House legislators may ... Read more
Eduction:
MASTER THE PPS FINAL RULE BEFORE IT'S TOO LATE
Register for these audioconferences on PPS therapy, diagnosis coding and billing. &bu... Read more
Training:
REV UP YOUR PPS TRAINING ENGINE NOW
Use these 5 pointers to get ready for critical payment changes in a few months.You need to... Read more
Survey & Certification:
KEEP AN EYE ON PROPOSED REVISIT FEE RULE
Your billing privileges could be at stake.A "seriously flawed" proposed rule on survey rev... Read more
Competitive Bidding:
PUSH CONGRESS FOR COMPETITIVE BIDDING FIX
'Beneficiary access' becomes suppliers' battle cry.Groups representing suppliers of home m... Read more
Education:
MASTER THE PPS FINAL RULE BEFORE IT'S TOO LATE
Register for these audioconferences on PPS therapy, diagnosis coding and billing. You... Read more
Medical Review:
TRACK ADR REQUESTS CAREFULLY OR COUNT ON DENIALS
Beware the bright orange envelope in your in-box.Don't overlook an intermediary's request ... Read more
Prospective Payment System:
TAME NEW SUPPLIES PAYMENTS WITH THESE 9 TIPS
OASIS accuracy counts heavily for NRS.With separate payment for non-routine supplies hitti... Read more
Industry Notes:
HOME CARE PROVIDERS' PAY HANGS IN THE BALANCE THIS MONTH
Don't get too comfortable with 2008 rates.Home health agencies aren't happy that the PPS r... Read more
Prospective Payment System:
REPORT SUPPLIES ON CLAIMS OR RISK CASH FLOW DELAYS
Submitting NRS costs is a pain now, but should help you later. Get ready for a whole ... Read more
Regulations:
WATCH OUT FOR EVEN BIGGER CASE MIX CREEP CUTS
CMS promises PPS billing info shortly in Open Door Forum.Home health agencies thinking the... Read more
Accreditation:
KEEP ACCREDITATION AT THE TOP OF YOUR LIST--HERE'S WHY
Waiting game may be dangerous for suppliers, feds say.It's anybody's guess when Medicare w... Read more
Compliance:
TAKE STOCK OF THESE 4 STARK RULE CHANGES
You may need to rethink 'fair market value,' rule shows.Home health agencies and their att... Read more
Education:
MASTER THE PPS FINAL RULE BEFORE IT'S TOO LATE
Register for these audioconferences on PPS therapy, diagnosis coding and billing. &bu... Read more
Hospice:
CHECK YOUR CHARTS NOW FOR CLEAN CLAIMS
New rule clarifies restrictions on who can certify terminal diagnosis.The feds may be watc... Read more
Industry Notes:
PPS REFINEMENTS BRING OASIS CHANGES
Get ready for 2 more quality measures.If you're in doubt that OASIS will be more important... Read more
WE NEED YOUR HELP!
We need your input to be sure each issue of Eli's Home Care Week continues to target the c... Read more
Prospective Payment System:
GET READY FOR YOUR PAYMENT WORLD TO CHANGE
PPS final rule brings major changes to reimbursement for therapy, supplies, coding.You'll ... Read more
Education:
MASTER THE PPS FINAL RULE BEFORE IT'S TOO LATE
Register for these audioconferences on PPS therapy, diagnosis coding and billing. You... Read more
OASIS:
TAKE STOCK OF THESE PPS OASIS CHANGES NOW
Case mix overhaul demands fast action.Come January, your staff's OASIS assessment skills w... Read more
Compliance:
NEW FINAL RULE CHANGES STARK PLAYING FIELD
Compliance just got trickier.Take a new look at any payment arrangements you may have with... Read more
Industry Notes:
YOU CAN LOOK UP REFERRING DOCS' NPIs IN DATABASE
NPI edits cause billing headaches.Warning: Don't remove all of your legacy numbers from th... Read more
Prospective Payment System:
FINAL PPS RULE SLAMS AGENCIES ON MULTIPLE FRONTS
Case mix creep cut shoots up by one-third.The feds have turned a deaf ear to hundreds of p... Read more
OASIS:
MONITOR M0175--OR RISK LOSSES FOR A NEW REASON
There's more at stake for HHAs than just case mix scores.The feds may be about to stop tra... Read more
Prospective Payment System:
DON'T LET M0110 BECOME YOUR NEW M0175
New 'early/later' question could pose major billing problems under revised PPS.Home health... Read more
Billing:
TAKE THESE 5 STEPS TO GET M0110 RIGHT
Clinician-billing communication will be key to securing your rightful reimbursement.You'll... Read more
Competitive Bidding:
SPEAK OUT ABOUT BIDDING SNAFUS
Industry groups step in to help.Don't go it alone if you're a home medical equipment suppl... Read more
Fraud & Abuse:
INFUSION PROVIDERS HIT WITH FRAUD & ABUSE DEMO, TOO
Home health agencies and home medical equipment suppliers aren't the only ones singled out... Read more
Reimbursement:
ANOTHER INTERMEDIARY SWITCHES TO HIGLAS ACCOUNTING SYSTEM
Expect RAP delays, mystery withholdings.If you're experiencing a wave of billing and accou... Read more
Industry Notes:
POST-ACUTE PAYMENT REFORM DEMO MAY STILL AFFECT YOU
CMS to start knocking on doors to recruit.A demonstration project that could result in mor... Read more
OASIS:
BRACE FOR A SWEEPING OASIS REVAMP
Nearly every MO item changes in revised assessment tool.The patient assessment tool on whi... Read more
Regulations:
REVISED OASIS FIXES SOME NAGGING PROBLEMS
HHAs will greet ambulations, prognosis changes with open arms.Getting used to an entirely ... Read more
Fraud & Abuse:
ACCREDITATION MANDATE HITS SUPPLIERS HARD
FL, CA suppliers play beat the clock.Thousands of reputable home medical equipment provide... Read more
Strategy:
PREPARE NOW TO SERVE MORE POSTACUTE PATIENTS
Demographic shift helps explain increasing case-mix scores.If you're looking for trends in... Read more
Legislation:
LOOMING CUTS CALL FOR SUPPLIERS' ACTION
House, Senate wrestle with Medicare cuts.There's a fight brewing in Congress--and supplier... Read more
Industry News:
BILLIONS OF DOLLARS AT STAKE FOR HHAs IN PENDING LEGISLATION
Congress will battle over Medicare cuts next month.While your costs are going up, your Med... Read more
Prospective Payment:
2008 RATE FREEZE THREATENS HHAs
Will CMS issue the highly anticipated PPS final rule this month?Get ready to tighten your ... Read more
Competitive Bidding:
USE NEW EXTENSION TO FINE-TUNE BIDS
Suppliers get more time for accreditation.The feds say they are already planning round two... Read more
OASIS:
REVAMP YOUR PRESSURE ULCER STAGING, CMS INSTRUCTS
You've got the green light to use new NPUAP guidelines. Home health agencies caug... Read more
Fraud & Abuse:
FEDS SEEK BONDS FROM SUPPLIERS
Move is latest in fraud crackdown.The feds have cast a wider net in their new war on fraud... Read more
Regulations:
L.A., HOUSTON HHAs WAIT FOR FRAUD INSTRUCTIONS
You can report your managed care beefs to CMS officials.Even if your record is spotless, y... Read more
Assessment:
NEW POST-ACUTE ASSESSMENT TOOL COULD BE HEADED YOUR WAY
Tests began this summer.A new demonstration is pitting home care's effectiveness and cost ... Read more
Industry Notes:
PROVIDERS GIVE MEDICARE CONTRACTORS A 'C' AVERAGE
DMERCs receive worst grade in satisfaction survery.If your regional home health intermedia... Read more
Fraud & Abuse:
GEAR UP FOR SURPRISE STRIKE AGAINST HHAs
Feds' first aim: Rogue agencies in Houston and L.A.A sweeping new federal plan to ferret o... Read more
Enrollment:
HERE'S WHY YOU NEED TO KNOW NEW ENROLLMENT REQUIREMENTS
Especially now, the devil is in the demonstration details.The feds' new demonstration proj... Read more
Prospective Payment System:
THREAT OF CUT FOR CASE MIX CREEP LOOMS LARGE
Wide variety of commenters furnish hundreds of pages of PPS rule recommendations.Home heal... Read more
Reimbursement:
COURT DECISION GIVES YOU ANOTHER SHOT WITH COST REPORTS
You can win back money for items that you didn't include on the original report.Another fe... Read more
Industry Notes:
GET READY FOR MORE TIME IN THE FRAUD HOT SEAT
HHS wants in excess of a billion dollars to combat Medicare fraud next year.Look for more ... Read more
Survey & Certification:
HEFTY SURVEY FEES ARE CLOSER THAN EVER
New rule estimates annual fees totaling $37 million.You now have even more reason to steer... Read more
Regulations:
READ RULE'S FINE PRINT ON SURVEY FEES
Fail to pay and you could lose Medicare certification.Speak out now against proposed surve... Read more
Competitive Bidding:
FEDS UPDATE BIDDING SYSTEM TO PREVENT DATA LOSS
But hurry: deadline draws near.If you're in the final throes of submitting your bid for Me... Read more
Reimbursement:
INDUSTRY DECLARES WAR ON CUT FOR CASE MIX CREEP
Reps pull out all the stops to argue against the slash to your Medicare reimbursement.By t... Read more
Prospective Payment System:
LUPAs, REFINEMENT CRITICISMS
HHAs find a lot to like in the proposed changes, too.Don't hold your breath waiting for ma... Read more
Hospice:
SPLIT YOUR HOSPICE CLAIMS OR LOSE REIMBURSEMENT
Medicare payment rates for hospice to increase 3.3 percent.Even though Medicare's home hea... Read more
Industry Notes:
PROVIDERS BREATHE EASIER OVER EXCESSIVE CHARGES RULE
OIG yanks controversial regulation.You don't have to worry about a proposed rule from the ... Read more
OASIS:
GET UP TO SPEED ON THESE CASE MIX ITEMS
CMS issues clarifications on confusing OASIS questions.Under the coming prospective paymen... Read more
Competitive Bidding:
FOCUS ON FINISH LINE TO STAY IN MEDICARE GAME
Associations rally to further delay implementation.Suppliers of home medical equipment hav... Read more
Fraud & Abuse:
MEDICARE COULD AUTO-DENY 100% OF SUSPICIOUS CLAIMS
Be sure to steer clear of these hot spots.Watch out: Medicare's Program Safeguard Contract... Read more
Managed Care:
MARKETING HALT WILL HELP HOME HEALTH AGENCIES
Rogue managed care agents misguide beneficiaries, say feds.A federal effort to monitor and... Read more
Accreditation:
ACCREDITATION KEY IN NEW DME FRAUD CRACKDOWN
Expect more paperwork to keep your supplier number.Take a close look at your efforts to en... Read more
Technology:
HOME HEALTH TELEMEDICINE BLOCKED BY PATIENT RESISTANCE
Study examines barriers to in-home health monitoring. If you want to make the most of... Read more
National Provider Identifier:
DON'T COUNT ON THE NPI DATABASE JUST YET
Now's the time to double check your NPPES information.Just when it seemed like referring d... Read more
Industry Notes:
MEDICAL REVIEW RULES FOR DOCUMENTATION LOOSEN
Forgetful providers may see fewer appeals.Good news: If you have failed to submit document... Read more
Gauge Your Past Performance and Steer Your Agency Higher
Introducing Eli's Home Health Operations Dashboard presented by Eli's Home Care Week and B... Read more
Therapy:
Sharpen Your Therapy Prediction To Master New Service Domain
Every therapy visit could make a difference under revised PPS billing. You’ll s... Read more
Prospective Payment System:
Therapy Patients Still Winners Under Revised PPS
Increased PPS complexity may reduce gaming, experts hope. Get ready to defend your therapy... Read more
Lawsuits:
Watch This Lawsuit For Competitive Bidding Salvation
Similar suits may hit courts soon.A new lawsuit has the potential to halt the implementati... Read more
Competitive Bidding:
Proceed Quickly On Bids--Or Risk All
First deadline looms.Don't count on the demise of Medicare DMEPOS competitive bidding--or ... Read more
Billing:
Feds Keep Spotlight On NPI Compliance
Docs' NPIs to debut soon on the Internet.Any day now you can download a new database from ... Read more
Industry Notes:
Keep Your Medical Director Compensation On The Up-And-Up
Federal court rules against provider arguing over director compensation.A federal court ha... Read more
Labor Law:
HIGH COURT--OVERTIME PAYMENT RULE IS VALID
Longstanding legal challenge ends--but stay tuned for related developments.The U.S. Suprem... Read more
Staffing:
3 WAYS TO STAY VIGILANT ON OVERTIME COMPLIANCE
Celebrate the good news by checking your policies now.Fail to follow the Fair Labor Standa... Read more
Competitive Bidding:
TAP THIS RESOURCE FOR COMPETITIVE BIDDING ANSWERS
Conferences suggest suppliers are confused in home stretch.If you're still aiming for a Me... Read more
Prospective Payment System:
LEARN FUNCTIONAL DOMAIN SHIFT BEFORE PPS CHANGES HIT
Don't forget to submit your comments on the PPS proposal by June 26.At first glance, the f... Read more
Pay For Performance:
P4P DEMO COULD BRING YOU EXTRA CASH
Good news: Project will exclude managed care. Medicaid patients.Home health agencies'... Read more
Quality:
PROPOSED P4P DEMO MEASURES AND THEIR WEIGHTS
These measures could bring extra payment your way under the coming pay for performance dem... Read more
Industry Notes:
NPI SNAGS CONTINUE TO PLAGUE PROVIDERS
Double-check your NPPES information to avoid hold-ups.As the first month of National Provi... Read more
Diagnosis Coding:
GET A GRIP ON CLINICAL DOMAIN REFINEMENTS
Start training now if you hope to be ready for PPS refinements by January.Your diagnosis c... Read more
Prospective Payment System:
NOTE THESE CLINICAL DOMAIN CHANGES
To obtain the payment you deserve under the new prospective payment system, you need to be... Read more
Competitive Bidding:
START HERE TO STEER CLEAR OF FATAL BIDDING ERRORS
4 tips help you avoid common mistakes in applying online.Home medical equipment suppliers ... Read more
Operations:
TEST YOUR FISCAL READINESS FOR COMPETITIVE BIDDING
Credit histories count, too, feds say.If you're trying for a Medicare competitive bidding ... Read more
OASIS:
AVOID THESE OASIS MISTAKES WITH MANAGED CARE PATIENTS
CMS official offers solutions to common MA problems.You could be messing up your OASIS dat... Read more
Reimbursement:
EXPECT DENIALS IF CLAIMS INCLUDE THESE CODES
Compounded inhalation drugs 'not medically necessary,' says Medicare.Home health suppliers... Read more
Industry Notes:
NPI EDITS HOLD UP MANY CLAIMS
Heads up: CMS will shut down UPIN registry this fall.If your cash flow has slowed to a tri... Read more
Prospective Payment System:
PPS FINAL RULE ON THE FAST TRACK
CMS reveals PPS details in forum.The year-end rush to implement prospective payment system... Read more
Supplies:
KEEP YOUR SUPPLIES CALCULATIONS SIMPLE WITH CMS CONFIRMATION
Each category receives one flat rate add-on.In the very intricate changes proposed to the ... Read more
Competitive Bidding:
FEDS, CONSULTANTS CAUTION WOULD-BE BIDDERS
Know your bidding basics.Don't delay if you're a home medical equipment supplier in one of... Read more
Accreditation:
DON'T LET THESE CB DETAILS SLIDE
June brings first deadline. If you’re in the grips of phase one of Med-icare&rs... Read more
OASIS:
PPS REFINEMENTS INCLUDE THESE 5 OASIS CHANGES
Expert payment diagnoses to become much more complex.Get ready for your OASIS instrument t... Read more
Recruitment & Retention:
DON'T LET RECORD-BREAKING GAS PRICES BREAK YOUR TEAM
2 key strategies can salvage staff morale during a fuel crunch.Damage control is the name ... Read more
Strategy:
TAME FUEL COSTS WITH 3 TIPS
Telehealth becomes more cost effective.Fuel savings may be hiding in new approaches to how... Read more
Industry Notes:
PHYSICIAN NPI DIRECTORY SCHEDULED AT LAST
Does' NPIs to be available on the Internet.You finally have a date that you can expect a N... Read more
Prospective Payment System:
TAKE THESE 6 STEPS TO PREPARE FOR PPS CHANGES
Start by taking a close look at the reg.Home health prospective payment system changes wil... Read more
Therapy:
BEWARE MEDICAL REVIEW UNDER CHANGING THERAPY THRESHOLD
Here's what to do now about the proposed therapy changes.Come Jan. 1, you'll say goodbye t... Read more
Competitive Bidding:
HASTY CALCULATIONS COULD ADD UP TO TROUBLE
Don't forget to factor in rising gas prices. The clock is ticking toward the clos... Read more
Diagnosis Coding:
NAIL DOWN YOUR ICD-9 SEQUENCING FOR MAJOR PPS CASE MIX CHANGES
Lots of new coding options available under proposed PPS refinements.Case mix diagnosis gro... Read more
Regulations:
CASE MIX CODING GETS A NEW LOOK
The Centers for Medicare & Medicaid Services wants to drastically expand the list of c... Read more
Reimbursement:
DON'T LET SHIFT IN FEE SCHEDULE STEAL YOUR CONTRACT
Warning: You may need to rebid.Keep your eye on the fee schedule if you provide power whee... Read more
Industry Notes:
HHAs FACE CONGRESSIONAL BUDGET THREATS
Will the budget ax fall on agencies' necks?An influential member of Congress is looking fo... Read more
Prospective Payment System:
HOW TO CALCULATE YOUR PPS PAYMENTS
Chart helps you compare the old and new ways Medicare will reimburse you.Life is about to ... Read more
Reimbursement:
FEDS THROW UP HURDLES TO BLOCK GAMING IN PPS REVISIONS
Resulting complexity leaves providers scratching their heads over impact.Toss out all your... Read more
Competitive Bidding:
FEDS OPEN COMPETITIVE BIDDING WINDOW
More delays unlikely, at least in phase one.Suppliers of home medical equipment can now of... Read more
Regulations:
KEEP KEY DATES IN MIND FOR NPI COMPLIANCE
Don't let CMS contingency plan catch you off guard.If your to-do list includes managing Me... Read more
Compliance:
TURN HERE FOR EXTRA NPI HELP
You can get answers to your questions about the Centers for Medicare & Medicaid Servic... Read more
Industry Report:
INDUSTRY BACKS FEDS' STRIKE ON ROGUE SUPPLIERS
DME is in the spotlight again.The feds are stepping up efforts to crack down on Medicare f... Read more
Prospective Payment System:
IMPROVE YOUR OASIS ACCURACY OR SUFFER FROM CASE MIX CREEP CUT
PPS revisions will leave you scrambling at year's end -- if the deadline holds.The 2.75 pe... Read more
Reimbursement:
SUPPLIES RELIEF ON THE HORIZON UNDER PPS REFINEMENTS
CMS wants to pay you more for supplies--but will it be enough?Those costly wound care pati... Read more
Competitive Bidding:
DIABETIC SUPPLIERS WRANGLE WITH NEW MEDICARE REALITIES
Real test comes in 2009.Small suppliers of mail-order diabetic supplies say the Medicare c... Read more
Compliance:
DON'T LET THESE 2 ESSENTIALS FALL THROUGH THE CRACKS
Open Door listeners get NPI reminder.As you scramble to come to terms with new payment rea... Read more
OASIS:
A NEW PATIENT ASSESSMENT TOOL COULD BE COMING YOUR WAY
Are you ready for another evaluation in addition to OASIS?The Centers for Medicare & M... Read more
Industry Notes:
HOSPICE INPATIENT CARE UNDER THE MICROSCOPE
Be prepared to defend your inpatient claims with care intensity documentation.If you've be... Read more
Prospective Payment System:
HUGE PPS CHANGES FINALLY UNVEILED AND HHAs AREN'T HAPPY
First major PPS refinements tackle hot button issues like therapy, LUPAs.Home health agenc... Read more
Therapy:
PREPARE FOR MAJOR THERAPY THRESHOLD CHANGES
Your episode calculations are about to get a lot more complicated.Home health agencies exp... Read more
Competitive Bidding:
READY, SET, BID -- BUT WHEN?
April start date passes and CMS pledges 'soon.'Once again, waiting is the name of the game... Read more
Education:
TAP INTO THESE RESOURCES FOR COMPETITIVE BIDDING EDGE
Don't rely only on the feds' offerings.Suppliers scrambling to prepare for Medicare's new ... Read more
Accreditation:
NEW DEADLINE LOCKS SUPPLIERS TO FAST TRACK
Summer not likely to be leisurely in DME land.No accreditation, no Medicare revenue. That ... Read more
Industry Notes:
HOSPICE OVERPAYMENT LETTERS COMING THIS SUMMER
Incorrect caps could cost you.Warning: If you're a hospice whose Medicare reimbursement bu... Read more
Prospective Payment System:
WATCH FOR PPS SUPERRULE
CMS will combine PPS refinements, 08 update and OASIS changes in one regulation. You ... Read more
Survey & Certification:
NEW SURVEY FEES TO HIT MEDICARE PROVIDERS
But charges apply only to revisits.Prepare to pay up if you get cited with a major deficie... Read more
Competitive Bidding:
COMPETITIVE BIDDING AFFECTS HHAs TOO
You might have to renegotiate your contracts with suppliers.If you think you're safe from ... Read more
HIPAA:
SECURITY RULE CRACKDOWN COULD STRIKE YOU
Hospital lands audit number one.  Is home health next?A low-key approach to keeping t... Read more
Therapy:
FINESSE YOUR THERAPY OUTCOMES WITH THESE TOOLS
CMS wants providers to use the outcomes tools and may require them soon.It doesn't have to... Read more
Legislation:
ADVOCATES SEEK END TO 'IN HOME' LIMIT FOR POWER WHEELCHAIRS
Senate companion bill expected.Patient advocates, power wheelchair makers and suppliers ar... Read more
Industry Notes:
USE YOUR NPI ON CLAIMS BY JULY, CMS WARNS
But you have until May 2008 to include referring docs' new numbers.Providers wondering how... Read more
Compliance:
TAKE THESE 5 NPI STEPS NOW TO STAY IN COMPLIANCE
If you haven't applied yet, you could be on CMS' bad list.Providers have an extra 12 month... Read more
Regulations:
HOME CARE PROVIDERS WRESTLE WITH NPIs AS DEADLINE NEARS
Providers need a physician NPI directory, but none is available yet.Home care providers ea... Read more
Competitive Bidding:
APPLY FOR ACCREDITATION BEFORE BIDDING, FEDS STRESS
And, quick, get your user ID.Home medical equipment suppliers who procrastinate about subm... Read more
Therapy:
CMS PUSHES THERAPY OUTCOMES TOOLS
Part B therapy providers should check out these recommended measurement systems.If you're ... Read more
Referrals:
HOSPITAL DRG REVAMP COULD AFFECT YOUR REFERRALS
Get ready for another possible expansion to the post-acute transfer policy.After a promise... Read more
Industry Notes:
HELP PATIENTS HELP THEMSELVES WITH INSURANCE COUNSELING
CMS funds counselors in every state.If Medicare managed care plans are confusing your pati... Read more
Compliance:
GET YOUR NPI DUCKS IN A ROW TO AVOID PENALTIES
What constitutes a good faith effort?Guess who gets to decide if you're complying with the... Read more
Competitive Bidding:
COMPETITIVE BIDDING CHALLENGES SMALL PROVIDERS
Tight time frame has suppliers juggling deadlines.The feds are touting the "small provider... Read more
Competitive Bidding:
FEDS OPEN 'INITIAL REGISTRATION' PERIOD FOR SUPPLIERS
Get your user ID now.The race is on for suppliers bidding in the first round of Medicare's... Read more
Reimbursement:
STAY OUT OF HOT WATER WITH YOUR COMP TIME POLICY
Recent PRRB decision highlights common compensation dangers.A Maryland home health agency ... Read more
Compensation:
USE THESE 6 POINTERS TO SIDESTEP COMP TIME PITFALLS
Look beyond the Medicare rules.Comp time is a popular way for home health agencies to hand... Read more
Managed Care:
BEWARE THIS MEDICARE ADVANTAGE POLICY CHANGE
'Limited open enrollment period' likely to snare some seniors -- and risk home care and HM... Read more
Industry Notes:
GET READY TO DEFEND YOUR LONG-STAY HOSPICE CLAIMS
Intermediary probe targets dementia.Your documentation for dementia patients better be up ... Read more
Regulations:
PROVIDERS WIN NPI REPRIEVE
Billing questions about tardy physicians dog providers. If you've been lying awake at nigh... Read more
Competitive Bidding:
FINALLY, A FINAL RULE ON BIDDING -- BUT ONE REPLETE WITH RISKS
Will 'new protections' really help small providers? It's official: The final rule implemen... Read more
Reimbursement:
AT-A-GLANCE GUIDE TO COMPETITIVE BIDDING'S PHASE ONE
Are you in one of the 10 areas bidding will hit first? Medicare's new DME competitive bidd... Read more
Accreditation:
PHYSICIANS, THERAPISTS EXEMPT FROM BIDDING PROCESS
But you'll still need accreditation. Physicians and other clinicians who supply DME to pat... Read more
Legislation:
SUPPLIERS PIN HOPES TO PENDING BIDDING LEGISLATION
Bill aims to reign in bidding. Though home medical equipment providers have been hearing "... Read more
Bidding:
USE YOUR CMS-1500 BREATHER WISELY
How will old forms interact with new NPIs? You'd better make sure you're submitting the ri... Read more
Industry Notes:
LAWMAKERS LOOKING FOR MEDICARE BUDGET CUTS
Managed care won't be the only Medicare recipients taking a hit.  The House of Repres... Read more
Regulations:
YOU COULD GET A NEW INTERMEDIARY
CMS punts on docs' NPI info again in latest forum. The conversion to Medicare Adm... Read more
Reimbursement:
IF IT'S BROKEN, FIX IT--SUPPLIERS MAY STRUGGLE UNDER NEW MAINTENANCE RULES
Many warranties won't help new beneficiary owners.Home medical equipment suppliers may be ... Read more
Recruitment & Retention:
WATCH FOR WELCOME WAGE INDEX CHANGES
You could finally have the same index as your hospital neighbors.Hospitals and home care p... Read more
Patient Notices:
SAY GOODBYE TO UP-FRONT PAY FOR NON-COVERED SERVICES
Take your opportunity to comment on the new ABN form for suppliers and hospices.If the gen... Read more
Competitive Bidding:
KEEP UP TO DATE ON BIDDING WITH NEW SITE
Competitive bidding education from Palmetto in the offing.Suppliers hungry for information... Read more
Inservice Education:
PLAN AHEAD TO MEET STAFF EDUCATION NEEDS
Get 10% off your next audioconference. Four upcoming Eli-sponsored audio conferences ... Read more
Industry Notes:
SCHIP JOINS DOC FIX TO THREATEN HOME CARE BUDGET
Lawmakers will be looking for Medicare cuts--and home care is a juicy target.Home care pro... Read more
Gauge Your Past Performance and Steer Your Agency Higher
Introducing Eli's 2006 Home Health Operations Dashboard presented by Eli's Home Care Week ... Read more
Pay For Performance:
IS P4P LOSING STEAM?
Coming MedPAC report may dampen enthusiasm for new incentive-based model.A year ago, it lo... Read more
Reimbursement:
CASE MIX CREEP COULD CUT YOUR CASH
Controversial rate reductions may hold up PPS refinement rule.Your reward for more accurat... Read more
Competitive Bidding:
FEDS CAUTION SUPPLIERS ABOUT ANOTHER OBSTACLE TO BIDDING SUCCESS
Keep 30-day deadline in mind.Get busy if you haven't filed Centers for Medicare & Medi... Read more
Labor Law:
HIGH COURT SET TO WEIGH AIDES' OVERTIME PAY
Outcome could change the way you staff.Ready to dig deeper to cover your aides' paychecks?... Read more
Staffing:
TAP THESE 3 TIPS TO STEER CLEAR OF UNNECESSARY OVERTIME
Sloppy documentation can decimate your bottom line.With the Supreme Court set to weigh in ... Read more
Billing:
WILL MAY BRING YOU A SHOWER OF NPI-RELATED DENIALS?
CMS promises 'guidance' by deadline.Heads up: There are just about two months left until t... Read more
Industry Notes:
NPIs WON'T REPLACE MEDICARE NUMBERS
Get ready for more paperwork headaches under a dual number system for surveys.Think the Na... Read more
Budget:
FEDS PUSH FOR HHA RATE FREEZE
MedPac, CBO hammer proposals that cut Medicare home health spendingYou'll have your work c... Read more
Reimbursement:
HME SUPPLIERS STRIKE BACK ON BUDGET PROPOSALS
More payment changes loom for power wheelchairs, oxygen.Watch out, Washington: Home medica... Read more
Accreditation:
FEDS--ACCREDITATION PROCRASTINATION MAY BRING MAJOR RISKS
Final rule could pack a wallop.If you offer home medical equipment and haven't applied for... Read more
OASIS:
INCREASE OASIS ACCURACY WITH NEW PRESSURE ULCER GUIDANCE
Better pressure ulcer scoring could mean more money for your patient.Pressure ulcer stagin... Read more
Billing:
ARE COMPUTER GLITCHES EATING YOUR REIMBURSEMENT?
Medicare denied up to 333,000 claims by mistake.You need to be vigilant for computer billi... Read more
Capped Rentals:
HEED NEW HME BILLING GUIDANCE
Don't let mistakes on capped rental claims sap your bottom line.New guidance from the feds... Read more
Industry Notes:
GAO PUTS SUPPLIERS IN THE HOT SEAT
Be sure your HME claims will stand up under the microscope.Providers of home medical suppl... Read more
Referrals:
DON'T LET DOC RELATIONSHIPS LAND YOU IN HOT WATER
HHA owners to appeal federal court's unfavorable ruling in Stark case.Right this minute, y... Read more
Compliance:
KEEP YOUR DOC COMPENSATION ON THE RIGHT SIDE OF THE LAW WITH THESE 4 TIPS
Contracts must reflect reality, experts warn.Keeping your physician relationships spic and... Read more
Regulations:
STARK PERSONAL SERVICES EXCEPTION
Do your physician contracts meet these requirements? Under the personal service arrangemen... Read more
Competitive Bidding:
TAKE ADVANTAGE OF FINAL RULE DELAY--HERE'S HOW TO PREPARE
Hint: Focus on these 3 key factors.If you're waiting for a final rule before you hunker do... Read more
Accreditation:
HME SUPPLIERS WEIGH VALUE OF MEDICARE
Could access problems loom for beneficiaries needing medical equipment?The fact that few h... Read more
Labor Law:
STAFFING COSTS COULD ESCALATE WITH NEW LAWS
Federal bill proceeds to conference committee.Home health agencies should have possible mi... Read more
Industry Notes:
GET YOUR RTP'D CLAIMS MOVING
Intermediary offers solution for erroneously inactivated RAPs.A claims system mix-up may b... Read more
Therapy:
THERAPY UTILIZATION GUIDELINES TO HIT AGENCIES
Will your therapy visit number fit under a new coverage policy limit?The spotlight on... Read more
Studies & Surveys:
WATCH NURSING HOME-RELATED BILLING CAREFULLY
New OIG report points the way to more scrutiny.DME suppliers shouldn't miss the latest war... Read more
Regulations:
NEW IRS GUIDANCE PUTS NONPROFIT AGENCIES UNDER THE SPOTLIGHT
Heads up if you want to keep your tax-exempt status.Nonprofit home health agencies and hos... Read more
Compliance:
NONPROFIT HHAs--GIVE NEW TAX GUIDELINES THEIR DUE
The IRS is watching how you manage 5 key areas.Take the time now to get a new document fro... Read more
Billing:
PREPARE FOR THE NEW UB-04 FORM WITH THESE TIPS
Get ready for more coding possibilities.Now's the time to make sure your software is ready... Read more
Industry Notes:
GRANT AIMS TO REBALANCE NURSING HOME, HOME CARE FUNDING UNDER MEDICAID
Hundreds of beneficiaries to move home under initiative.Connecticut will receive a $24.2 m... Read more
Budget:
FIGHT LOOMS OVER PRESIDENT'S PROPOSED HHA CUTS
Budget proposed also targets hospice reimbursement.Home health agencies are gearing up for... Read more
Legislation:
SUPPLIERS BESIEGED WITH MORE CALLS FOR CUTS
Oxygen, wheelchairs are under the budget ax.President Bush wants to heap even more reimbur... Read more
Benchmarking:
CASH IN ON PAYMENT-ADJUSTMENT KNOW-HOW--OR RISK BIG LOSSES
LUPA, PEP and SCIC oversights can equal a big 'ka-ching' for Medicare.If you think payment... Read more
Billing:
DON'T LET SCICs SAP YOUR MEDICARE COFFERS
Is your software automating you toward lower payments?When a change in a patient's conditi... Read more
Reimbursement:
FEDS SPELL OUT CAPPED-RENTAL PAYMENTS FOR MAINTENANCE
Expect less support during rental periods.Suppliers now have at least a few answers about ... Read more
Industry Notes:
STATES PROPOSE CHANGES TO HOME CARE FUNDING
Will your state fund more home care?At the same time federal lawmakers are considering sla... Read more
Regulations:
DOCS' NPI LAG COULD HALT YOUR CASH FLOW
M0175, Medicare Advantage also addressed in Open Door Forum.You may be months ahead of the... Read more
Competitive Bidding:
SUPPLIERS PRESS FEDS FOR ACCREDITATION SPECIFICS
Expecting a rush of applicants, accreditors get a trickle.Suppliers of durable medical equ... Read more
Accreditation:
FEDS IMPOSE, THEN RESCIND IMPOSSIBLE SUPPLIER ACCREDITATION DEADLINE
Red alert:  Suppliers don't have to be accredited to bid, CMS reveals.A recent Friday... Read more
Reimbursement:
DON'T DEPEND ON INTERMEDIARY FOR REIMBURSEMENT ADVICE
New York agency learns a $200,000 lesson the hard way from the PRRB.If you make an error b... Read more
HIPAA:
REVIEW SECURITY RULE POLICIES, FEDS URGE
Laptops in the field OK--but vulnerable, guidance says.Make sure you didn't miss this in t... Read more
Industry News:
YOU SHOULD BE PUTTING MORE DATA ON YOUR HOSPICE CLAIMS
Location, time units now required, intermediary instructs.Hospices that are used to pretty... Read more
Pay For Performance:
GET A GLIMPSE OF YOUR P4P FUTURE
MedPAC model riddled with problems, industry reps say.You'd better brush up on your OASIS ... Read more
Compliance:
LOOK FOR CLARIFICATION ON NEW WHISTLEBLOWER EDUCATION REG
But read between the lines for the most vital message.Home care providers are busy sorting... Read more
Medicaid:
STEP UP COMPLIANCE PROGRAMS TO MEET FRAUD CRACKDOWN
Rest assured: The spotlight will only get brighter.Stay current on news regarding the Medi... Read more
Therapy:
GET TO KNOW NEW THERAPY CAP EXCEPTIONS LIST
Don't forget you can't use the manual exceptions process--at least for now.If you furnish ... Read more
Documentation:
CATCH SOME MAJOR THERAPY DOCUMENTATION CLARIFICATIONS
Add progress reports, outcomes to your outpatient therapy to-do list.In conjunction with i... Read more
Oxygen:
WASHINGTON WARMS TO ENHANCED MEDICARE PAYMENTS FOR COPD
Bill would be boon to oxygen suppliers.Oxygen therapy providers can applaud recent headlin... Read more
Industry Notes:
NO PECOS? BE PREPARED TO RE-ENROLL IN MEDICARE
Check out the reasons your enrollment application could come back to you.It's official: If... Read more
Prospective Payment System:
HHAs GEAR UP FOR FIGHT AGAINST MEDICARE RATE FREEZE
MedPAC wants 2008 update eliminated, report to tell CongressAfter declaring victory on the... Read more
Reimbursement:
PMD SUPPLIERS FACE MEDICARE DOUBLE-WHAMMY
Be vigilant to prevent unnecessary denials.If you're a supplier of power mobility devices,... Read more
Power Mobility Devices:
SUPPLIERS DEVISE NEW WAYS TO COUNTER PAYMENT CUTS
Stakeholders could turn to Congress, state lawmakers.With Medicare paying considerably les... Read more
Therapy:
WATCH OUT FOR INFRARED THERAPY BILLING PITFALLS UNDER PPS
Medicare non-coverage could reduce your PPS payment rates by thousands unless you know the... Read more
Competitive Bidding:
KEEP CURRENT ON ENROLLMENT INFO OR RISK BIDDING STATUS
Stringent new rule catches many suppliers by surprise.Be sure you're dotting your i's and ... Read more
OASIS:
PREVENT THESE COSTLY M0175 ERRORS
A little bit of effort can save you up to $600 per episode.You may feel the pinch as you p... Read more
Industry Notes:
GRANTS SUPPORT MEDICAID HOME CARE
Demonstration projects aim to keep patients out of institutions.Seventeen states soon will... Read more
Reimbursement:
M0175 TAKEBACK DEMANDS TO GO OUT THIS WEEK
One intermediary delays the recoupments.Now that the holidays are over, it's time to get d... Read more
OASIS:
SCRUTINIZE YOUR M0175 ADJUSTMENTS WITH 4 STEPS
Don't let CMS take away your rightful reimbursement.You'll soon receive M0175 demand lette... Read more
Labor Law:
HIGH COURT TAKES ON OVERTIME EXEMPTION CASE
Will it save you from a big financial hit?Keep your eye on the U.S. Supreme Court if you a... Read more
Compliance:
LOSE SIGHT OF LANDMARK CASE -- AND RISK THOUSANDS
It pays to keep pay policies up to date.With the courts scrutinizing overtime pay, play it... Read more
Oxygen:
APPOINTMENT COULD BOOST CHANCES OF CAP REPEAL
Oxygen stakeholders continue fight to kill DRA provision.A Kansas senator who's been on th... Read more
Therapy:
HEED 4 KEY CHANGES TO THERAPY CAPS FOR OUTPATIENTS
With only a $40 raise, experts weigh in on what will affect you most.The outpatient therap... Read more
Diagnosis Coding:
NOTE THE CORRECTIONS TO CMS' THERAPY EXCEPTIONS LIST
Many of last year's diagnosis codes were missing fifth digits.A beneficiary's diagnosis de... Read more
Industry Notes:
BEWARE ZIP CODE HOLD-UPS TO CLAIMS
New NPI requirement delays payments.When you fail to include your zip code on your Medicar... Read more
Available Years:  2007  2006  2005  2004  2003