Home Health & Hospice Week
Diagnosis Coding:
Home Care Rails Against ICD-10 Timeframe
Can you pull yourself into compliance with the 155,000-code system in time for CMS&rsquo... Read more
Home Care Rails Against ICD-10 Timeframe
Can you pull yourself into compliance with the 155,000-code system in time for CMS&rsquo... Read more
Regulations:
Take A Sneak Peek Into The ICD-10 Format
Here's what to expect for staff training ICD-10 is a hot topic for home care providers, a... Read more
Take A Sneak Peek Into The ICD-10 Format
Here's what to expect for staff training ICD-10 is a hot topic for home care providers, a... Read more
OASIS:
Prepare For These Coding Changes With OASIS-C
Heads up: Your coders may need to start listing procedure codes. Your coders may have set... Read more
Prepare For These Coding Changes With OASIS-C
Heads up: Your coders may need to start listing procedure codes. Your coders may have set... Read more
OASIS:
Get A Jump On OASIS-C With These 7 Tips
It’s not too early to start preparing your agency for the big OASIS revamp. To r... Read more
Get A Jump On OASIS-C With These 7 Tips
It’s not too early to start preparing your agency for the big OASIS revamp. To r... Read more
Therapy:
Gear Up for Part B Therapy In 2009 With This Medicare Fee Schedule Analysis
Payments for outpatient therapy will increase Jan. 1. Without the therapy cap expiratio... Read more
Gear Up for Part B Therapy In 2009 With This Medicare Fee Schedule Analysis
Payments for outpatient therapy will increase Jan. 1. Without the therapy cap expiratio... Read more
Hospice:
Hospices Take Issue With State-Assisted Suicide Law
Conflicted medical providers may opt out of the controversial law. When they went to the ... Read more
Hospices Take Issue With State-Assisted Suicide Law
Conflicted medical providers may opt out of the controversial law. When they went to the ... Read more
Studies & Surveys:
Surprise: Public Pays Scant Attention to Comparative Quality Information
Survey points to the need to educate the public. All the work you've been putting into ma... Read more
Surprise: Public Pays Scant Attention to Comparative Quality Information
Survey points to the need to educate the public. All the work you've been putting into ma... Read more
Hospice:
Don't Expect New Hospice Data Collection Until 2010
COPs are now in effect, CMS reminds hospices in forum. Whether you love or hate Medica... Read more
Don't Expect New Hospice Data Collection Until 2010
COPs are now in effect, CMS reminds hospices in forum. Whether you love or hate Medica... Read more
Industry Notes:
Your Managed Care Problems May Diminish Next Year
Recent studies cast critical light on Medicare Advantage plans. One of the Obama administ... Read more
Your Managed Care Problems May Diminish Next Year
Recent studies cast critical light on Medicare Advantage plans. One of the Obama administ... Read more
Regulations:
HHAs Get Early M0175 Christmas Present
Coding, quality measures, and OASIS-C also addressed in Open Door Forum. The recoupments ... Read more
HHAs Get Early M0175 Christmas Present
Coding, quality measures, and OASIS-C also addressed in Open Door Forum. The recoupments ... Read more
Oxygen:
Suppliers Face Unanswered Questions As Oxygen Clock Ticks
Providers flood forum with inquiries about drastic oxygen payment changes. Suppliers are ... Read more
Suppliers Face Unanswered Questions As Oxygen Clock Ticks
Providers flood forum with inquiries about drastic oxygen payment changes. Suppliers are ... Read more
Reimbursement:
MedPAC Hoists Budget Ax With HHAs On Chopping Block
Advisory body favors cuts due to high HHA profit margins. The fight will be on in Congres... Read more
MedPAC Hoists Budget Ax With HHAs On Chopping Block
Advisory body favors cuts due to high HHA profit margins. The fight will be on in Congres... Read more
Hospice:
MedPAC Targets Hospice Length of Stay to Curb Costs
Reforms would revamp payments, accountability, and data collection. Hospice providers may... Read more
MedPAC Targets Hospice Length of Stay to Curb Costs
Reforms would revamp payments, accountability, and data collection. Hospice providers may... Read more
Industry Notes:
Suppliers In High-Risk States Get Lump Of OIG Coal
Suppliers get good report for hurricane service, however. Suppliers shouldn't expect frau... Read more
Suppliers In High-Risk States Get Lump Of OIG Coal
Suppliers get good report for hurricane service, however. Suppliers shouldn't expect frau... Read more
OASIS:
New Process Measures Will Change Your OASIS World
Get ready for a whole new wave of patient data collection with OASIS-C. The new OASIS-... Read more
New Process Measures Will Change Your OASIS World
Get ready for a whole new wave of patient data collection with OASIS-C. The new OASIS-... Read more
Reimbursement:
Factor OASIS-C Revisions Into Your PPS Payments
Examine the revamp of pressure ulcer, transfer items before changes hit in a year. The n... Read more
Factor OASIS-C Revisions Into Your PPS Payments
Examine the revamp of pressure ulcer, transfer items before changes hit in a year. The n... Read more
Hospices Take Tough Cost Containment Steps
Federal court shoots down lawsuit against the BNAF cuts. Medicare's hospice cuts that too... Read more
Federal court shoots down lawsuit against the BNAF cuts. Medicare's hospice cuts that too... Read more
Education:
Master Crucial Compliance, Reimbursement Issues With These Educational Offerings
Information on OASIS-C, patient self-management, hospice CoPs available in Eli audioconf... Read more
Master Crucial Compliance, Reimbursement Issues With These Educational Offerings
Information on OASIS-C, patient self-management, hospice CoPs available in Eli audioconf... Read more
Fraud & Abuse:
Suppliers, HHAs Undergo More OIG Scrutiny
Bad actors may circumvent enforcement through unrevealed business associations. The feds ... Read more
Suppliers, HHAs Undergo More OIG Scrutiny
Bad actors may circumvent enforcement through unrevealed business associations. The feds ... Read more
Industry Notes:
Get Ready For Changes As New Administration Takes Office
Obama begins announcing appointments affecting Medicare. Come January, Medicare will have... Read more
Get Ready For Changes As New Administration Takes Office
Obama begins announcing appointments affecting Medicare. Come January, Medicare will have... Read more
OASIS:
CMS Issues New OASIS-C Form
Process measures, M0 item changes will mean big changes for HHAs. Providers a... Read more
CMS Issues New OASIS-C Form
Process measures, M0 item changes will mean big changes for HHAs. Providers a... Read more
Hospice:
Visit Reporting Burden To Get Heavier For Hospices
CMS wants to broaden data collection. Get ready for a lot more work to submit your hospic... Read more
Visit Reporting Burden To Get Heavier For Hospices
CMS wants to broaden data collection. Get ready for a lot more work to submit your hospic... Read more
Billing:
Hospices Fear Repercussions Of New Visit Reporting Proposal
Providers want better data, but this proposal may not achieve that aim. The Centers for M... Read more
Hospices Fear Repercussions Of New Visit Reporting Proposal
Providers want better data, but this proposal may not achieve that aim. The Centers for M... Read more
HIPAA:
OIG on the Prowl for Faulty HIPAA Security
CMS falls short in its oversight and enforcement, OIG says. Authorities may not have been... Read more
OIG on the Prowl for Faulty HIPAA Security
CMS falls short in its oversight and enforcement, OIG says. Authorities may not have been... Read more
Oxygen:
Oxygen Suppliers Reeling From New Payment Rule
CMS orders suppliers to furnish services for two years with almost no pay. Oxygen suppli... Read more
Oxygen Suppliers Reeling From New Payment Rule
CMS orders suppliers to furnish services for two years with almost no pay. Oxygen suppli... Read more
Medical Review:
Intermediary Targets Heart Claims For Review
Are your hospice election and certification forms are up to snuff? You'd better make sur... Read more
Intermediary Targets Heart Claims For Review
Are your hospice election and certification forms are up to snuff? You'd better make sur... Read more
Industry Notes:
Medicare Whittles Payment Error Rate
CMS promises safeguards to ensure error rate accuracy. Medicare continues to pay provide... Read more
Medicare Whittles Payment Error Rate
CMS promises safeguards to ensure error rate accuracy. Medicare continues to pay provide... Read more
Reimbursement:
Use These 6 Tips To Keep On Top Of PPS Adjustments.
Pay the most attention to the therapy corrections, experts advise. Tracking your claims ... Read more
Use These 6 Tips To Keep On Top Of PPS Adjustments.
Pay the most attention to the therapy corrections, experts advise. Tracking your claims ... Read more
Prospective Payment System:
Focus On These 8 Areas --" And Prosper --" Despite '09 HHA Cuts
Knowing your costs is half the battle Home health agencies are bracing for a tougher year... Read more
Focus On These 8 Areas --" And Prosper --" Despite '09 HHA Cuts
Knowing your costs is half the battle Home health agencies are bracing for a tougher year... Read more
Billing:
Get Ready For These PPS Adjustments
Get Ready For These PPS Adjustments Get the details on corrections to these nine prospect... Read more
Get Ready For These PPS Adjustments
Get Ready For These PPS Adjustments Get the details on corrections to these nine prospect... Read more
Hospice:
Hospices Tighten Belts In Response To BNAF Cut
Start-ups are vulnerable to closures. The reduced Medicare rate update for hospices that... Read more
Hospices Tighten Belts In Response To BNAF Cut
Start-ups are vulnerable to closures. The reduced Medicare rate update for hospices that... Read more
Industry Notes:
Home Care Pitches In For Hospital Readmission Project
Pilot project cut rehospitalizations by half. Home care will play a vital role in Medi-ca... Read more
Home Care Pitches In For Hospital Readmission Project
Pilot project cut rehospitalizations by half. Home care will play a vital role in Medi-ca... Read more
Prospective Payment System:
Medicare HHA Rates To Remain Flat In 2009
There's no end in sight for case mix creep cuts to HHA reimbursement. Will an extra $1.60... Read more
Medicare HHA Rates To Remain Flat In 2009
There's no end in sight for case mix creep cuts to HHA reimbursement. Will an extra $1.60... Read more
Reimbursement:
Outlier Rate Stays Steady As Feds Fight Fraud
CMS punts on wage index yet again. The 2009 home health agency rate update notice does co... Read more
Outlier Rate Stays Steady As Feds Fight Fraud
CMS punts on wage index yet again. The 2009 home health agency rate update notice does co... Read more
Billing:
PPS Correction Adjustments Finally On Deck
You'll have to do some of the work yourself to recover your rightful reimbursement. If Me... Read more
PPS Correction Adjustments Finally On Deck
You'll have to do some of the work yourself to recover your rightful reimbursement. If Me... Read more
Industry Notes:
Home Care Ready To Work With New President, Lawmakers
Reach out to your representatives today, trade groups urge. Home care providers are hopef... Read more
Home Care Ready To Work With New President, Lawmakers
Reach out to your representatives today, trade groups urge. Home care providers are hopef... Read more
Fraud & Abuse:
OIG Wants Tougher Reinstatement Appeals For Ousted Suppliers
More than 90 percent of revoked suppliers were reinstated upon appeal. Medicare may be do... Read more
OIG Wants Tougher Reinstatement Appeals For Ousted Suppliers
More than 90 percent of revoked suppliers were reinstated upon appeal. Medicare may be do... Read more
Managed Care:
Use These 8 Tips To Survive And Thrive Under Managed Care
Knowing your costs is the vital first step. Managed care penetration continues to grow, b... Read more
Use These 8 Tips To Survive And Thrive Under Managed Care
Knowing your costs is the vital first step. Managed care penetration continues to grow, b... Read more
Case Study:
Here's How One HHA Used Regs to Recover Managed Care Payments
Legal negotiations pay off big for chain. If you're frustrated by low -- or no -- payment... Read more
Here's How One HHA Used Regs to Recover Managed Care Payments
Legal negotiations pay off big for chain. If you're frustrated by low -- or no -- payment... Read more
Compliance:
OIG Gives OK To Outsourcing Pre-Authorizations
But beware any compensation that is based on commissions. If you have significant managed... Read more
OIG Gives OK To Outsourcing Pre-Authorizations
But beware any compensation that is based on commissions. If you have significant managed... Read more
Diagnosis Coding:
Master Home Health's Top 10 New and Revised Codes
Get familiar with new diagnosis codes for pressure ulcers, diabetes, and more. ICD-9 2009... Read more
Master Home Health's Top 10 New and Revised Codes
Get familiar with new diagnosis codes for pressure ulcers, diabetes, and more. ICD-9 2009... Read more
Fraud & Abuse:
HME Industry Calls For More Fraud Fighting From Medicare
Upped site visits just one component of 13-step plan trade group proposes. Medicare provi... Read more
HME Industry Calls For More Fraud Fighting From Medicare
Upped site visits just one component of 13-step plan trade group proposes. Medicare provi... Read more
Industry Notes:
Kiss 15% Of Your Medicare Money Goodbye If You Owe Taxes
New IRS authority takes away your cash. If you owe back taxes, the IRS can now come calli... Read more
Kiss 15% Of Your Medicare Money Goodbye If You Owe Taxes
New IRS authority takes away your cash. If you owe back taxes, the IRS can now come calli... Read more
OASIS:
New OASIS Tool Changes Unveiled Soon
CMS significantly revamped OASIS-C in response to field testing. A whole new OASIS world ... Read more
New OASIS Tool Changes Unveiled Soon
CMS significantly revamped OASIS-C in response to field testing. A whole new OASIS world ... Read more
Assessment:
6 Tips Help You Prep For OASIS-C
Your medical records process may need a significant revamp. OASIS is the cornerstone of y... Read more
6 Tips Help You Prep For OASIS-C
Your medical records process may need a significant revamp. OASIS is the cornerstone of y... Read more
Conferences & Meetings:
President Clinton Urges HHAs To Seize "Great Opportunity"
Standing room only crowd listens to keynote speech at NAHC annual meeting. If home care w... Read more
President Clinton Urges HHAs To Seize "Great Opportunity"
Standing room only crowd listens to keynote speech at NAHC annual meeting. If home care w... Read more
Fraud & Abuse:
DME Suppliers Loom Large In OIG's Crosshairs
Federal watchdog agency will investigate 20 different DME topics this year. Documentatio... Read more
DME Suppliers Loom Large In OIG's Crosshairs
Federal watchdog agency will investigate 20 different DME topics this year. Documentatio... Read more
Lawsuits:
Industry Fights Case Mix Creep Adjustment In Court
Trade group files federal lawsuit against the reimbursement cut. The home care industry i... Read more
Industry Fights Case Mix Creep Adjustment In Court
Trade group files federal lawsuit against the reimbursement cut. The home care industry i... Read more
Industry Notes:
Providers Blast ICD-10 Implementation Schedule
New CMS education tool may help you with the transition. Grappling with the new diagnosis... Read more
Providers Blast ICD-10 Implementation Schedule
New CMS education tool may help you with the transition. Grappling with the new diagnosis... Read more
Fraud & Abuse:
Medicare Initiates Crackdown On HHA Fraud
All agencies can expect increased medical review and more hoops to jump through. Home hea... Read more
Medicare Initiates Crackdown On HHA Fraud
All agencies can expect increased medical review and more hoops to jump through. Home hea... Read more
Reimbursement:
Medicare Targets DME Fraud In 7 States
DME crackdown will close some suppliers' doors forever. Extensive medical review of DME c... Read more
Medicare Targets DME Fraud In 7 States
DME crackdown will close some suppliers' doors forever. Extensive medical review of DME c... Read more
Compliance:
Doc Relationships, Insulin Shots, Therapy Make OIG's HHA Hit List
Use these 4 tips to avoid hot spot pitfalls. Your arrangements with physicians could land... Read more
Doc Relationships, Insulin Shots, Therapy Make OIG's HHA Hit List
Use these 4 tips to avoid hot spot pitfalls. Your arrangements with physicians could land... Read more
Hospice:
OIG Focuses On Hospice-Nursing Home Relationships
New hospice CoPs may be less help than you think. Your anxiety over possible kickback pro... Read more
OIG Focuses On Hospice-Nursing Home Relationships
New hospice CoPs may be less help than you think. Your anxiety over possible kickback pro... Read more
Industry Notes:
FBI Investigates Home Care Fraud Case
Court must approve funds for operations. CMS and the OIG aren't the only federal agencies ... Read more
FBI Investigates Home Care Fraud Case
Court must approve funds for operations. CMS and the OIG aren't the only federal agencies ... Read more
Hospice:
Begin Using New Hospice ABNs Before Deadline Hits
Don't forget about giving notices for hospital stays. You may have until March 2009 to im... Read more
Begin Using New Hospice ABNs Before Deadline Hits
Don't forget about giving notices for hospital stays. You may have until March 2009 to im... Read more
Patient Notices:
Know When You Should Not Furnish ABNs
Don't waste precious time and resources in these 3 circumstances. While it's vital to kno... Read more
Know When You Should Not Furnish ABNs
Don't waste precious time and resources in these 3 circumstances. While it's vital to kno... Read more
Regulations:
Expect PPS Adjustments By The End Of The Year
Home health agencies shouldn't have too much longer to wait for the money they are owed du... Read more
Expect PPS Adjustments By The End Of The Year
Home health agencies shouldn't have too much longer to wait for the money they are owed du... Read more
Reimbursement:
CMS Warns Against Oxygen Switcheroo
Accreditation, MIPPA provisions also highlighted in forum. The provision requiring transf... Read more
CMS Warns Against Oxygen Switcheroo
Accreditation, MIPPA provisions also highlighted in forum. The provision requiring transf... Read more
Fraud & Abuse:
Senate Wants Diagnosis Codes Linked To DME Claims
Report finds billions of dollars in questionable DME payments. Edits for durable medical ... Read more
Senate Wants Diagnosis Codes Linked To DME Claims
Report finds billions of dollars in questionable DME payments. Edits for durable medical ... Read more
Industry Notes:
OIG Nursing Home Guidance Outlines Hospice Risks
Steer clear of reserved bed landmines, OIG warns providers. Hospices shouldn't have to do... Read more
OIG Nursing Home Guidance Outlines Hospice Risks
Steer clear of reserved bed landmines, OIG warns providers. Hospices shouldn't have to do... Read more
Supplies:
Prepare For Deluge Of Returned Claims For NRS Oct. 1
You can't ignore those nonroutine supplies edits anymore. Your grace period for nonroutin... Read more
Prepare For Deluge Of Returned Claims For NRS Oct. 1
You can't ignore those nonroutine supplies edits anymore. Your grace period for nonroutin... Read more
Prospective Payment System:
4 Steps To NRS Billing Success
Home health agencies wanting to avoid nonroutine supplies billing traps can follow these f... Read more
4 Steps To NRS Billing Success
Home health agencies wanting to avoid nonroutine supplies billing traps can follow these f... Read more
Billing:
Another PPS Glitch May Be Taking Your Hard-Earned Money
Don't let claims reconciliation neglect rob you of your rightful reimbursement. If you've... Read more
Another PPS Glitch May Be Taking Your Hard-Earned Money
Don't let claims reconciliation neglect rob you of your rightful reimbursement. If you've... Read more
OASIS:
OASIS Overhaul Details Due Next Month
Get ready for a drastically revised assessment tool -- sooner than you think. Home hea... Read more
OASIS Overhaul Details Due Next Month
Get ready for a drastically revised assessment tool -- sooner than you think. Home hea... Read more
Hospice:
Hospice Industry Fights Wage Index Cuts
Lawsuit, legislation are two hopes for reprieve from cut hitting Oct. 1. Hospices are att... Read more
Hospice Industry Fights Wage Index Cuts
Lawsuit, legislation are two hopes for reprieve from cut hitting Oct. 1. Hospices are att... Read more
Industry Notes:
Suppliers Singled Out For Accreditation Requirements
Physicians, therapists exempted from Medicare rules About a year from now you'll have to ... Read more
Suppliers Singled Out For Accreditation Requirements
Physicians, therapists exempted from Medicare rules About a year from now you'll have to ... Read more
Reader Question:
Use PEPs To Secure Your Managed Care Pay
You don't have to write off an entire episode due to a managed care mix-up. Question: Wha... Read more
Use PEPs To Secure Your Managed Care Pay
You don't have to write off an entire episode due to a managed care mix-up. Question: Wha... Read more
Prospective Payment System:
Follow These 12 Tips For PPS Billing Success
Don’t waste time and money on unnecessary RAP cancellations? Are you sure you&rs... Read more
Follow These 12 Tips For PPS Billing Success
Don’t waste time and money on unnecessary RAP cancellations? Are you sure you&rs... Read more
Reimbursement:
Check Your Claims Payments With 4 Steps To Avoid Losses
Don't let claims adjustments slip by unexamined. The complexity of the prospective paymen... Read more
Check Your Claims Payments With 4 Steps To Avoid Losses
Don't let claims adjustments slip by unexamined. The complexity of the prospective paymen... Read more
Disaster Planning:
Providers Gear Up For Another Hurricane
Feds, RHHIs offer disaster planning and recovery help, including 2 billing codes. If the ... Read more
Providers Gear Up For Another Hurricane
Feds, RHHIs offer disaster planning and recovery help, including 2 billing codes. If the ... Read more
Regulations:
CMS Delays New ABN Deadline For Hospice, DME
March is the new target date for the revamped patient notice. If you haven't started usin... Read more
CMS Delays New ABN Deadline For Hospice, DME
March is the new target date for the revamped patient notice. If you haven't started usin... Read more
Education:
Master Crucial Compliance, Reimbursement Issues With These Educational Offerings
Information on diagnosis coding, hospice, gas mileage and DME accreditation available in... Read more
Master Crucial Compliance, Reimbursement Issues With These Educational Offerings
Information on diagnosis coding, hospice, gas mileage and DME accreditation available in... Read more
Industry Notes:
Don't Miss These Vaccination Billing Basics
Know when you need an NPI and when you don't. Providers wanting to brush up on vaccinatio... Read more
Don't Miss These Vaccination Billing Basics
Know when you need an NPI and when you don't. Providers wanting to brush up on vaccinatio... Read more
Emergency Preparedness:
Home Care Industry Grapples With Hurricane Gustav
Loss of electricity, phones tests providers' emergency plans. Hurricane Gustav may not ha... Read more
Home Care Industry Grapples With Hurricane Gustav
Loss of electricity, phones tests providers' emergency plans. Hurricane Gustav may not ha... Read more
Know Your Single Nursing Visit Rules For OT Episodes
Intermediary edit hits episodes with 1 SN visit and 1 or more OT visits. Trying to bill f... Read more
Intermediary edit hits episodes with 1 SN visit and 1 or more OT visits. Trying to bill f... Read more
Eligibility:
Review Your Homebound Status Criteria
Recent guidance from CMS regarding driving may surprise you. If your patient drove his ca... Read more
Review Your Homebound Status Criteria
Recent guidance from CMS regarding driving may surprise you. If your patient drove his ca... Read more
Studies & Surveys:
Beef Up Your Fall Prevention Efforts
Keep seniors from falling to avoid brain injuries, study urges. Add one more reason to th... Read more
Beef Up Your Fall Prevention Efforts
Keep seniors from falling to avoid brain injuries, study urges. Add one more reason to th... Read more
Industry Notes:
Providers Less Happy With Medicare Contractors
RHHIs score the best. Durable medical equipment suppliers are the least happy of all Medi... Read more
Providers Less Happy With Medicare Contractors
RHHIs score the best. Durable medical equipment suppliers are the least happy of all Medi... Read more
Fraud & Abuse:
Firestorm Erupts When CMS Lowballs DME Error Rate
Suppliers are caught in the crossfire between CMS, OIG and politicians. Suppliers can exp... Read more
Firestorm Erupts When CMS Lowballs DME Error Rate
Suppliers are caught in the crossfire between CMS, OIG and politicians. Suppliers can exp... Read more
Medical Review:
These OIG Recommendations May Make Your Life Harder
CMS will toughen up scrutiny for diabetic test strips, oxygen and wheelchairs. After bein... Read more
These OIG Recommendations May Make Your Life Harder
CMS will toughen up scrutiny for diabetic test strips, oxygen and wheelchairs. After bein... Read more
Reimbursement:
Part B QICs Missed 58 Percent of Appeals Deadlines, OIG Says
And 54 percent of both Part A and Part B QIC appeals included wrong information. If you'v... Read more
Part B QICs Missed 58 Percent of Appeals Deadlines, OIG Says
And 54 percent of both Part A and Part B QIC appeals included wrong information. If you'v... Read more
Appeals:
Stay on Top of the Appeals Process With These Quick Tips
5 steps can help save you from a denial and forfeiting your due reimbursement. The govern... Read more
Stay on Top of the Appeals Process With These Quick Tips
5 steps can help save you from a denial and forfeiting your due reimbursement. The govern... Read more
Industry Notes:
Protect Your Parkinson's Claims From Medical Review
Intermediary denies HHA claims with ICD-9 code 332.x. Home health agencies can't seem to ... Read more
Protect Your Parkinson's Claims From Medical Review
Intermediary denies HHA claims with ICD-9 code 332.x. Home health agencies can't seem to ... Read more
Reader Question:
Don't Expect Full Episode Payment For MA Patients
You'll have to hand back payments you've received in error, a CMS official warns. Questio... Read more
Don't Expect Full Episode Payment For MA Patients
You'll have to hand back payments you've received in error, a CMS official warns. Questio... Read more
Prospective Payment System:
Stay Tuned For M0110 Adjustments
OASIS-C, diagnosis coding guidance also discussed in CMS forum. You're going to have to w... Read more
Stay Tuned For M0110 Adjustments
OASIS-C, diagnosis coding guidance also discussed in CMS forum. You're going to have to w... Read more
Hospice:
Hospices Want CoP Answers
Accreditation, beneficiary notices also addressed in forum. Hospices eager to comply with... Read more
Hospices Want CoP Answers
Accreditation, beneficiary notices also addressed in forum. Hospices eager to comply with... Read more
Accreditation:
Catch Up On Accreditation If You Furnish DME To Hospice Patients
Hospice CoPs throw unexpected accreditation curveball to suppliers. You don't have to be ... Read more
Catch Up On Accreditation If You Furnish DME To Hospice Patients
Hospice CoPs throw unexpected accreditation curveball to suppliers. You don't have to be ... Read more
Therapy:
Get Up To Speed On Part B Therapy Rules
Medicare throws new personnel and policy guidelines at Part B therapy providers. Don't mi... Read more
Get Up To Speed On Part B Therapy Rules
Medicare throws new personnel and policy guidelines at Part B therapy providers. Don't mi... Read more
Medical Review:
4 Steps For Audit Success
Documentation is the key to protecting yourself when auditors come calling. Nobody likes ... Read more
4 Steps For Audit Success
Documentation is the key to protecting yourself when auditors come calling. Nobody likes ... Read more
Diagnosis Coding:
Get Ready For Whole New Diagnosis Coding System
ICD will leap from 17,000 to 155,000 codes. After all the hard work you've put into diag... Read more
Get Ready For Whole New Diagnosis Coding System
ICD will leap from 17,000 to 155,000 codes. After all the hard work you've put into diag... Read more
Industry Notes:
Second Home Health Quality Campaign To Kick Off Next Year
QIO activities regarding care transitions may occur sooner. Home health agencies are goin... Read more
Second Home Health Quality Campaign To Kick Off Next Year
QIO activities regarding care transitions may occur sooner. Home health agencies are goin... Read more
Survey & Certification:
OIG Wants Repeat Offenders Targeted For HHA Surveys
Will your survey history put you on the fast track for more scrutiny? If you operate in o... Read more
OIG Wants Repeat Offenders Targeted For HHA Surveys
Will your survey history put you on the fast track for more scrutiny? If you operate in o... Read more
Regulations:
Intermediate Sanctions For Surveys Could Threaten HHAs
The proposed punishment could be a boon -- or a bane -- for beleaguered providers. You co... Read more
Intermediate Sanctions For Surveys Could Threaten HHAs
The proposed punishment could be a boon -- or a bane -- for beleaguered providers. You co... Read more
Therapy:
Part B Therapy To Get Its Own Assessment Tool
Your Part B therapy payments could eventually resemble OASIS and PPS. Yearning for the da... Read more
Part B Therapy To Get Its Own Assessment Tool
Your Part B therapy payments could eventually resemble OASIS and PPS. Yearning for the da... Read more
Industry Notes:
DME Fraudsters Land Decades In Jail Time
One state expands its Medicaid Fraud Control Unit to fight scammers. Authorities are thro... Read more
DME Fraudsters Land Decades In Jail Time
One state expands its Medicaid Fraud Control Unit to fight scammers. Authorities are thro... Read more
Reader Question:
Know Billing Ropes When Patients Switch To Managed Care
Be sure your OASIS supports your billing. Question: When a patient switches from traditio... Read more
Know Billing Ropes When Patients Switch To Managed Care
Be sure your OASIS supports your billing. Question: When a patient switches from traditio... Read more
Hospice:
Hospice Cut Likely To Sink Small Providers
Medicare wage index reduction strips more than $2 billion from hospice spending. Hospices... Read more
Hospice Cut Likely To Sink Small Providers
Medicare wage index reduction strips more than $2 billion from hospice spending. Hospices... Read more
Reimbursement:
Tackle Hospice Cut With These 5 Tips
Beef up your non-Medicare programs. The reduced reimbursement wave for hospice is going t... Read more
Tackle Hospice Cut With These 5 Tips
Beef up your non-Medicare programs. The reduced reimbursement wave for hospice is going t... Read more
Managed Care:
Prepare For These Medicare Advantage Changes
MA provisions in MIPPA legislation presents pros and cons for HHAs. In the recent Medicar... Read more
Prepare For These Medicare Advantage Changes
MA provisions in MIPPA legislation presents pros and cons for HHAs. In the recent Medicar... Read more
Enrollment:
Undercover Sting Operation Shows Medicare Supplier Enrollment Flaws
CMS and NSC not diligent enough in screening new suppliers, GAO says. Suppliers frustrate... Read more
Undercover Sting Operation Shows Medicare Supplier Enrollment Flaws
CMS and NSC not diligent enough in screening new suppliers, GAO says. Suppliers frustrate... Read more
Industry Notes:
HHA Chains Report Positive Earnings
Acquisitions continue at a rapid pace. The prospective payment system refinements this ye... Read more
HHA Chains Report Positive Earnings
Acquisitions continue at a rapid pace. The prospective payment system refinements this ye... Read more
OASIS:
New M0488 Guidance Could Cost You, But Boost Outcomes
Retrain clinicians quickly on this important wound clarification. If you don't keep up wi... Read more
New M0488 Guidance Could Cost You, But Boost Outcomes
Retrain clinicians quickly on this important wound clarification. If you don't keep up wi... Read more
Hospice:
Follow These 4 Tips To Calculate Hospice Visit Charges
New guidance from CMS could assist you. How confident are you in the new hospice visit ch... Read more
Follow These 4 Tips To Calculate Hospice Visit Charges
New guidance from CMS could assist you. How confident are you in the new hospice visit ch... Read more
Legislation:
Get The Scoop On A New OT Bill And How It Might Help Your HHA
Occupational therapy strives to be an initiating service. It's Friday afternoon at your h... Read more
Get The Scoop On A New OT Bill And How It Might Help Your HHA
Occupational therapy strives to be an initiating service. It's Friday afternoon at your h... Read more
Education:
Master Crucial Compliance, Reimbursement Issues With These Educational Offerings
Information on hospice compliance, non-routine supply billing and diagnosis coding avail... Read more
Master Crucial Compliance, Reimbursement Issues With These Educational Offerings
Information on hospice compliance, non-routine supply billing and diagnosis coding avail... Read more
Appeals:
Technical Difficulties Plague New ALJ Process
Federal watchdog takes a look at how ALJ hearings go under new rules. The new administrat... Read more
Technical Difficulties Plague New ALJ Process
Federal watchdog takes a look at how ALJ hearings go under new rules. The new administrat... Read more
Industry Notes:
Medicare Expands Home PT/INR Testing Coverage
More beneficiaries will now qualify for the service and equipment. More patients on antic... Read more
Medicare Expands Home PT/INR Testing Coverage
More beneficiaries will now qualify for the service and equipment. More patients on antic... Read more
HIPAA:
Home Care Provider Slapped With First HIPAA Settlement -- And It's A Big One
You could be next, OCR official threatens.If you've been letting HIPAA concerns languish o... Read more
Home Care Provider Slapped With First HIPAA Settlement -- And It's A Big One
You could be next, OCR official threatens.If you've been letting HIPAA concerns languish o... Read more
Compliance:
Take These 6 Steps To Shore Up Your HIPAA Compliance
Don’t let harsher enforcement catch you by surprise. Home care providers that ha... Read more
Take These 6 Steps To Shore Up Your HIPAA Compliance
Don’t let harsher enforcement catch you by surprise. Home care providers that ha... Read more
Competitive Bidding:
Accreditation Deadlines For Bidding Nixed
But all Medicare suppliers must get accredited by next year anyway. Things are getting ba... Read more
Accreditation Deadlines For Bidding Nixed
But all Medicare suppliers must get accredited by next year anyway. Things are getting ba... Read more
Therapy:
Are Your Therapists OK Under New Medicare Requirements?
PTs, PTAs, OTs and OTAs have a slew of new standards. You aren't alone if you've been wor... Read more
Are Your Therapists OK Under New Medicare Requirements?
PTs, PTAs, OTs and OTAs have a slew of new standards. You aren't alone if you've been wor... Read more
Industry Notes:
Dead Doctor Scandal Plagues HME Industry
Congressional hearing focuses on HME claims using deceased physicians' UPINs. Medicare ma... Read more
Dead Doctor Scandal Plagues HME Industry
Congressional hearing focuses on HME claims using deceased physicians' UPINs. Medicare ma... Read more
Budget:
Veto Override Hands Budget Victory To Home Care Providers
HHA and hospice rates stay intact while bidding gets shelved.Intense political maneuvering... Read more
Veto Override Hands Budget Victory To Home Care Providers
HHA and hospice rates stay intact while bidding gets shelved.Intense political maneuvering... Read more
Competitive Bidding:
Suppliers Pull Off Bidding Delay
Uphill battle won, but contract bidders are left in the lurch.Durable medical equipment bi... Read more
Suppliers Pull Off Bidding Delay
Uphill battle won, but contract bidders are left in the lurch.Durable medical equipment bi... Read more
Fraud & Abuse:
State Anti-Fraud Law Could Change Referral Landscape
Medical director overhaul is centerpiece of new law targeting kickbacks.If home health age... Read more
State Anti-Fraud Law Could Change Referral Landscape
Medical director overhaul is centerpiece of new law targeting kickbacks.If home health age... Read more
Recruitment & Retention:
High Gas Prices Might Resurrect Rural Add-On
Plight of home care providers and patients catches national attention.The astronomical cos... Read more
High Gas Prices Might Resurrect Rural Add-On
Plight of home care providers and patients catches national attention.The astronomical cos... Read more
Compliance:
Don't Let OIG Opinion Lull You Into Gift Card Dangers
Watchdog agency OKs nominal gift cards to patients.If you furnish modest gift cards to you... Read more
Don't Let OIG Opinion Lull You Into Gift Card Dangers
Watchdog agency OKs nominal gift cards to patients.If you furnish modest gift cards to you... Read more
Industry Notes:
Watch RAC Program Carefully For Threat To Home Care
Contractors' $700 million savings for Medicare could spell bad news for providers.Home car... Read more
Watch RAC Program Carefully For Threat To Home Care
Contractors' $700 million savings for Medicare could spell bad news for providers.Home car... Read more
Budget:
CONGRESS DRAGS OUT MEDICARE BUDGET NEGOTIATIONS
Home care rates aren't sure until the President signs a Medicare bill.The delay to Medicar... Read more
CONGRESS DRAGS OUT MEDICARE BUDGET NEGOTIATIONS
Home care rates aren't sure until the President signs a Medicare bill.The delay to Medicar... Read more
Competitive Bidding:
CHANCE FOR BIDDING DELAY SLIPS THROUGH SUPPLIERS' FINGERS
Legal challenges also fail to hold off the paradigm-shifting program.Despite positive indi... Read more
CHANCE FOR BIDDING DELAY SLIPS THROUGH SUPPLIERS' FINGERS
Legal challenges also fail to hold off the paradigm-shifting program.Despite positive indi... Read more
Regulations:
HOSPICE BACKGROUND CHECKS MAY REACH FARTHER THAN YOU THINK
Open Door Forum addresses CoPs, PPS, new OASIS and more.You could have some extra work to ... Read more
HOSPICE BACKGROUND CHECKS MAY REACH FARTHER THAN YOU THINK
Open Door Forum addresses CoPs, PPS, new OASIS and more.You could have some extra work to ... Read more
Industry Notes:
DOCUMENT YOUR TRANSFER PATIENTS OR RISK LOSSES
Are you nailing all the details for transfer patients you accept?If you get lazy with your... Read more
DOCUMENT YOUR TRANSFER PATIENTS OR RISK LOSSES
Are you nailing all the details for transfer patients you accept?If you get lazy with your... Read more
Budget:
MEDICARE BUDGET BILL ADVANCES IN CONGRESS
HHAs' hopes for a rural add-on dim, but suppliers celebrate.All eyes are on the U.S. Senat... Read more
MEDICARE BUDGET BILL ADVANCES IN CONGRESS
HHAs' hopes for a rural add-on dim, but suppliers celebrate.All eyes are on the U.S. Senat... Read more
Competitive Bidding:
CMS' BIDDING LETTERS CONFUSE BENEFICIARIES
One bidding lawsuit bites the dust.The feds continue to move forward with the July 1 imple... Read more
CMS' BIDDING LETTERS CONFUSE BENEFICIARIES
One bidding lawsuit bites the dust.The feds continue to move forward with the July 1 imple... Read more
Reimbursement:
IRS RAISES MILEAGE RATE TO 58.5 CENTS
Record-high gas prices are putting home care access at risk, study warns.Home care workers... Read more
IRS RAISES MILEAGE RATE TO 58.5 CENTS
Record-high gas prices are putting home care access at risk, study warns.Home care workers... Read more
Strategy:
SAVE ON FUEL WITH THESE 11 TIPS
Efficient visit scheduling most popular weapon against increasing fuel prices.High gas pri... Read more
SAVE ON FUEL WITH THESE 11 TIPS
Efficient visit scheduling most popular weapon against increasing fuel prices.High gas pri... Read more
Hospice:
HOSPICE CLAIMS DATA REQUIREMENT HITS JULY 1
New reporting could delay cash flow, hospices worry.Hospices are better prepared to tackle... Read more
HOSPICE CLAIMS DATA REQUIREMENT HITS JULY 1
New reporting could delay cash flow, hospices worry.Hospices are better prepared to tackle... Read more
Industry Notes:
LOOK TO OTHER PROVIDER TYPES FOR YOUR MEDICARE FUTURE
SNF rating system and hospital P4P show what home care has in store.Your OASIS data will b... Read more
LOOK TO OTHER PROVIDER TYPES FOR YOUR MEDICARE FUTURE
SNF rating system and hospital P4P show what home care has in store.Your OASIS data will b... Read more
Budget:
BUDGET AX THREATENS HOME CARE PROVIDERS
But rural add-on for HHAs could actually succeed in a new Medicare bill.Political posturin... Read more
BUDGET AX THREATENS HOME CARE PROVIDERS
But rural add-on for HHAs could actually succeed in a new Medicare bill.Political posturin... Read more
Disaster Relief:
HHS RELAXES MEDICARE REQUIREMENTS FOR FLOOD AREAS
Home care providers fighting to serve patients in flooded areas are receiving some much-ne... Read more
HHS RELAXES MEDICARE REQUIREMENTS FOR FLOOD AREAS
Home care providers fighting to serve patients in flooded areas are receiving some much-ne... Read more
Competitive Bidding:
NEW BILLS OFFER BIDDING RELIEF
Delay of bidding looks likely, thanks to new bipartisan legislation.DME suppliers may get ... Read more
NEW BILLS OFFER BIDDING RELIEF
Delay of bidding looks likely, thanks to new bipartisan legislation.DME suppliers may get ... Read more
Prospective Payment System:
DON'T COUNT ON NRS PAYMENTS YOU DON'T GET
Tip: Include supplies charges on all claims, including LUPAs.Nailing down the details of p... Read more
DON'T COUNT ON NRS PAYMENTS YOU DON'T GET
Tip: Include supplies charges on all claims, including LUPAs.Nailing down the details of p... Read more
Therapy:
EXPECT MORE THERAPY CAP EXCEPTIONS IN THE FUTURE--IF YOU'RE LUCKY
Part B therapy proponents are giving up hope on eliminating therapy caps completely.If you... Read more
EXPECT MORE THERAPY CAP EXCEPTIONS IN THE FUTURE--IF YOU'RE LUCKY
Part B therapy proponents are giving up hope on eliminating therapy caps completely.If you... Read more
Industry Notes:
BILL AIMS TO EASE HHAs' FUEL PRICE WOES
But practical help may be a ways off.Home health agencies are finding a sympathetic recept... Read more
BILL AIMS TO EASE HHAs' FUEL PRICE WOES
But practical help may be a ways off.Home health agencies are finding a sympathetic recept... Read more
In-Service:
TAP THIS VITAL INFORMATION WITHOUT WASTING ANY GAS MONEY
Information on case management, referral sources and the new hospice CoPs available in E... Read more
TAP THIS VITAL INFORMATION WITHOUT WASTING ANY GAS MONEY
Information on case management, referral sources and the new hospice CoPs available in E... Read more
Hospice:
LONG-AWAITED COPs REVAMP PLEASES HOSPICES
But providers have a lot of work ahead to assure compliance.Hospices will need every secon... Read more
LONG-AWAITED COPs REVAMP PLEASES HOSPICES
But providers have a lot of work ahead to assure compliance.Hospices will need every secon... Read more
Regulations:
HOSPICE COPs OVERHAUL NURSING HOME RELATIONSHIPS
Start working on your nursing home contracts now.Big changes are afoot for hospices servin... Read more
HOSPICE COPs OVERHAUL NURSING HOME RELATIONSHIPS
Start working on your nursing home contracts now.Big changes are afoot for hospices servin... Read more
Budget:
MEDICARE BILL TAKES AIM AT OXYGEN, WHEELCHAIRS
Home health agency and hospice payments are safe, for now.Politicians in Washington, DC ar... Read more
MEDICARE BILL TAKES AIM AT OXYGEN, WHEELCHAIRS
Home health agency and hospice payments are safe, for now.Politicians in Washington, DC ar... Read more
Competitive Bidding:
BIDDING STEAMROLLS TOWARD JULY 1 IMPLEMENTATION
Suppliers pull out all the stops to get the program delayed.Both suppliers and the feds ar... Read more
BIDDING STEAMROLLS TOWARD JULY 1 IMPLEMENTATION
Suppliers pull out all the stops to get the program delayed.Both suppliers and the feds ar... Read more
Industry Notes:
BEWARE NPI PROBLEMS FOR REFERRING PHYSICIANS
Providers are doing a pretty good job of billing with their own NPIs, but not so well for ... Read more
BEWARE NPI PROBLEMS FOR REFERRING PHYSICIANS
Providers are doing a pretty good job of billing with their own NPIs, but not so well for ... Read more
Compliance:
BAN ON STAMPED DOC SIGNATURES REINFORCED FOR SURVEYS, PAYMENT
Surveyors, intermediaries hop on the stamped signature prohibition bandwagon.Providers who... Read more
BAN ON STAMPED DOC SIGNATURES REINFORCED FOR SURVEYS, PAYMENT
Surveyors, intermediaries hop on the stamped signature prohibition bandwagon.Providers who... Read more
Prospective Payment System:
Count Your Episodes Using New M0110 Rules
CMS answers a nagging question about sequencing denied episodes.One M0110 mystery is solve... Read more
Count Your Episodes Using New M0110 Rules
CMS answers a nagging question about sequencing denied episodes.One M0110 mystery is solve... Read more
Diagnosis Coding:
2009 Coding Update Will Bring Ulcer, Diabetes Changes
Get ready for your coding to get more complex when new codes take effect Oct. 1. If y... Read more
2009 Coding Update Will Bring Ulcer, Diabetes Changes
Get ready for your coding to get more complex when new codes take effect Oct. 1. If y... Read more
Competitive Bidding:
Know Grandfathering Rules Before Taking The Plunge
Grandfathering period limited, CMS says.Deciding to furnish oxygen as a non-contract suppl... Read more
Know Grandfathering Rules Before Taking The Plunge
Grandfathering period limited, CMS says.Deciding to furnish oxygen as a non-contract suppl... Read more
Hospice:
CMS Issues Long-Awaited Hospice COPs
Don’t be fooled by the notice in the May 27 Federal Register putting off the hospi... Read more
CMS Issues Long-Awaited Hospice COPs
Don’t be fooled by the notice in the May 27 Federal Register putting off the hospi... Read more
Industry Notes:
NPI-Only Requirement Brings Claims System Headaches
Ability to view and fix claims is on the fritz after NPI deadline.Providers hoping for a s... Read more
NPI-Only Requirement Brings Claims System Headaches
Ability to view and fix claims is on the fritz after NPI deadline.Providers hoping for a s... Read more
Finance:
PPS Changes Impact Companies' Bottom Lines
Consolidation continues despite new payment rules.If you're taking a hit under the prospec... Read more
PPS Changes Impact Companies' Bottom Lines
Consolidation continues despite new payment rules.If you're taking a hit under the prospec... Read more
Patient Notices:
USE NEW ABN FORMS FOR DME, HOSPICE
Grace period for CMS' updated, revised ABN ends Sept. 1.If you still struggle with underst... Read more
USE NEW ABN FORMS FOR DME, HOSPICE
Grace period for CMS' updated, revised ABN ends Sept. 1.If you still struggle with underst... Read more
Regulations:
REMEMBER THESE 3 ABN TIPS
After-the-fact ABNs don't do you any good.Although the ABN form has changed, many of the p... Read more
REMEMBER THESE 3 ABN TIPS
After-the-fact ABNs don't do you any good.Although the ABN form has changed, many of the p... Read more
Competitive Bidding:
ROUND ONE BID WINNERS FINALLY REVEALED
Non-contract suppliers must furnish bidding notification to patients.The durable medical e... Read more
ROUND ONE BID WINNERS FINALLY REVEALED
Non-contract suppliers must furnish bidding notification to patients.The durable medical e... Read more
Reimbursement:
ROUND TWO BIDDERS SECURE ACCREDITATION BREATHER
Don't stick your head in the sand, CMS warns.Despite Medicare's full-steam-ahead attitude ... Read more
ROUND TWO BIDDERS SECURE ACCREDITATION BREATHER
Don't stick your head in the sand, CMS warns.Despite Medicare's full-steam-ahead attitude ... Read more
Industry Notes:
BE PREPARED FOR NPI PROBLEMS AHEAD
You're responsible for obtaining referring physicians' numbers, feds remind.Don't be surpr... Read more
BE PREPARED FOR NPI PROBLEMS AHEAD
You're responsible for obtaining referring physicians' numbers, feds remind.Don't be surpr... Read more
Reader Question:
NURSING OASIS VISIT MAY CUT SHORT THERAPY-ONLY EPISODES
Beware of using an incorrect episode start date.Question: My home health agency admitted a... Read more
NURSING OASIS VISIT MAY CUT SHORT THERAPY-ONLY EPISODES
Beware of using an incorrect episode start date.Question: My home health agency admitted a... Read more
OASIS:
NEW RISK ADJUSTMENT FOR OUTCOMES HITS THIS SUMMER
PPS case mix creep, billing problems, NPIs also addressed in Open Door Forum.Your outcomes... Read more
NEW RISK ADJUSTMENT FOR OUTCOMES HITS THIS SUMMER
PPS case mix creep, billing problems, NPIs also addressed in Open Door Forum.Your outcomes... Read more
Competitive Bidding:
BIDDING BATTLE ROYALE UNDERWAY
House hearing puts CMS on the defensive.Suppliers seem to be gaining traction in their fig... Read more
BIDDING BATTLE ROYALE UNDERWAY
House hearing puts CMS on the defensive.Suppliers seem to be gaining traction in their fig... Read more
Education:
MASTER CRUCIAL COMPLIANCE, REIMBURSEMENT ISSUES WITH THESE EDUCATIONAL OFFERINGS
Info on hospice relationships, PPS billing and more available in Eli audioconferences. ... Read more
MASTER CRUCIAL COMPLIANCE, REIMBURSEMENT ISSUES WITH THESE EDUCATIONAL OFFERINGS
Info on hospice relationships, PPS billing and more available in Eli audioconferences. ... Read more
Hospice:
USE THESE CLARIFICATIONS TO REPORT HOSPICE VISITS
Respite care, social work visit details revealed in Open Door Forum.Confusion about how ho... Read more
USE THESE CLARIFICATIONS TO REPORT HOSPICE VISITS
Respite care, social work visit details revealed in Open Door Forum.Confusion about how ho... Read more
Industry Notes:
INTERMEDIARY TARGETS CLAIMS FOR INTERMITTENT CARE PROBLEMS
Daily care with no realistic endpoint will sink your claims.Get ready to defend your claim... Read more
INTERMEDIARY TARGETS CLAIMS FOR INTERMITTENT CARE PROBLEMS
Daily care with no realistic endpoint will sink your claims.Get ready to defend your claim... Read more
Medicaid:
OIG WANTS YOUR MEDICAID BILLING T GET MORE COMPLICATED
The watchdog agency found $1 million in duplicate payments for supplies and therapy.You co... Read more
OIG WANTS YOUR MEDICAID BILLING T GET MORE COMPLICATED
The watchdog agency found $1 million in duplicate payments for supplies and therapy.You co... Read more
Hospice:
WAGE INDEX CUT THREATENS HOSPICE PROVIDERS
Industry decries proposed 5 percent reduction to Medicare reimbursement.The Medicare hospi... Read more
WAGE INDEX CUT THREATENS HOSPICE PROVIDERS
Industry decries proposed 5 percent reduction to Medicare reimbursement.The Medicare hospi... Read more
Reimbursement:
RURAL, SMALL HOSPICES SUFFER UNDER HOSPICE CUT
CMS picking on most vulnerable providers, industry charges.Weathering reimbursement cuts i... Read more
RURAL, SMALL HOSPICES SUFFER UNDER HOSPICE CUT
CMS picking on most vulnerable providers, industry charges.Weathering reimbursement cuts i... Read more
Compliance:
WILL NEW 855 FORM EASE REENROLLMENT HEADACHES?
Don't let these new Medicare provider requirements catch you by surprise.If you bill Medic... Read more
WILL NEW 855 FORM EASE REENROLLMENT HEADACHES?
Don't let these new Medicare provider requirements catch you by surprise.If you bill Medic... Read more
Regulations:
TOP 12 QUESTIONS TO ASK WHEN ASSESSING YOUR REVALIDATION COMPLIANCE
If your answer isn't 'yes' to these items, it's time to do some digging.1) Is the provider... Read more
TOP 12 QUESTIONS TO ASK WHEN ASSESSING YOUR REVALIDATION COMPLIANCE
If your answer isn't 'yes' to these items, it's time to do some digging.1) Is the provider... Read more
Industry Notes:
MEDICARE FORGES AHEAD WITH COMPETITIVE BIDDING
First national training call on the bidding program is coming up.Durable medical equipment... Read more
MEDICARE FORGES AHEAD WITH COMPETITIVE BIDDING
First national training call on the bidding program is coming up.Durable medical equipment... Read more
Nonroutine Supplies:
NRS Edits Hit HHAs' Claims
Overcome confusing remittance advice codes with NRS know-how. Don’t ignore the ... Read more
NRS Edits Hit HHAs' Claims
Overcome confusing remittance advice codes with NRS know-how. Don’t ignore the ... Read more
Prospective Payment System:
Use These 8 Tips To Master NRS Reimbursement
Your supplies payment depends on how well your clinicians and billers communicate.Fine tun... Read more
Use These 8 Tips To Master NRS Reimbursement
Your supplies payment depends on how well your clinicians and billers communicate.Fine tun... Read more
Industry Notes:
Date Mix-Ups Torpedo PPS Claims
Check your claims data carefully.You could prevent holdups to your cash flow by avoiding s... Read more
Date Mix-Ups Torpedo PPS Claims
Check your claims data carefully.You could prevent holdups to your cash flow by avoiding s... Read more
Hospice:
Beware New E-Signature Requirements For Hospice
CMS dashes hospices' hopes for an entirely paperless system.Don't overlook an important wr... Read more
Beware New E-Signature Requirements For Hospice
CMS dashes hospices' hopes for an entirely paperless system.Don't overlook an important wr... Read more
OASIS:
Hammer Home OASIS Accuracy To Achieve NRS Billing Success
Watch out for simple mistakes that endanger your episode reimbursement.Sloppy OASIS coding... Read more
Hammer Home OASIS Accuracy To Achieve NRS Billing Success
Watch out for simple mistakes that endanger your episode reimbursement.Sloppy OASIS coding... Read more
Managed Care:
MANAGED CARE PROBLEMS PLAGUE HHAs
Slow payment and extra documentation requirements are just a few of the headaches.Home hea... Read more
MANAGED CARE PROBLEMS PLAGUE HHAs
Slow payment and extra documentation requirements are just a few of the headaches.Home hea... Read more
Regulations:
USE THESE REASONS TO HELP BENEFICIARIES DISENROLL FROM MA PLANS
Your patients aren't always stuck with a lemon of a Medicare Advantage plan once they sign... Read more
USE THESE REASONS TO HELP BENEFICIARIES DISENROLL FROM MA PLANS
Your patients aren't always stuck with a lemon of a Medicare Advantage plan once they sign... Read more
Medical Review:
INTERMEDIARY TAKES AIM AT LONG-STAY HOSPICE CLAIMS
Reviewers deny 70% of reviewed claims for prognosis, other problems.You'd better make sure... Read more
INTERMEDIARY TAKES AIM AT LONG-STAY HOSPICE CLAIMS
Reviewers deny 70% of reviewed claims for prognosis, other problems.You'd better make sure... Read more
Industry Notes:
MEDICARE RATE CUTS BECOME SERIOUS THREATS TO HOME CARE
Medicare package begins to take shape in the Senate.The clock is ticking down to physician... Read more
MEDICARE RATE CUTS BECOME SERIOUS THREATS TO HOME CARE
Medicare package begins to take shape in the Senate.The clock is ticking down to physician... Read more
Competitive Bidding:
EXAMPLES OF BIDDING ERRORS PILE UP
Industry continues fight against round one of competitive bidding.Suppliers disheartened b... Read more
EXAMPLES OF BIDDING ERRORS PILE UP
Industry continues fight against round one of competitive bidding.Suppliers disheartened b... Read more
Prospective Payment System:
BRACE FOR FURTHER CUTS DUE TO CASE MIX CREEP
CMS continues to search for upcoding in home health agency claims.If you thought payment c... Read more
BRACE FOR FURTHER CUTS DUE TO CASE MIX CREEP
CMS continues to search for upcoding in home health agency claims.If you thought payment c... Read more
Competitive Bidding:
COMPETITIVE BIDDING TO STRIKE NON-BIDDING-AREA PROVIDERS TOO
CMS releases more information on how bidding will work.You may have to start grilling new ... Read more
COMPETITIVE BIDDING TO STRIKE NON-BIDDING-AREA PROVIDERS TOO
CMS releases more information on how bidding will work.You may have to start grilling new ... Read more
Regulations:
HOME HEALTH CONTRACTOR SWITCH GETS ROCKIER
PPS, OBQI also addressed in forum.You might have to transition to a new Medicare contracto... Read more
HOME HEALTH CONTRACTOR SWITCH GETS ROCKIER
PPS, OBQI also addressed in forum.You might have to transition to a new Medicare contracto... Read more
Medical Review:
MEDICARE BOUNTY HUNTERS COULD TURN ATTENTION TO HOME CARE
RACs collect $371.5 million from Medicare providers.Recovery audit contractors have laid o... Read more
MEDICARE BOUNTY HUNTERS COULD TURN ATTENTION TO HOME CARE
RACs collect $371.5 million from Medicare providers.Recovery audit contractors have laid o... Read more
Industry Notes:
OIG PUTS HOSPICE RESPITE CARE UNDER THE MICROSCOPE
Watchdog agency finds inappropriate instances of respite care use, new report says.Harsh s... Read more
OIG PUTS HOSPICE RESPITE CARE UNDER THE MICROSCOPE
Watchdog agency finds inappropriate instances of respite care use, new report says.Harsh s... Read more
Documentation:
KNOW YOUR PHYSICIAN SIGNATURE REQUIREMENTS
Stamped signatures no good for HHAs or hospices, CMS clarifies.You may feel like the feds ... Read more
KNOW YOUR PHYSICIAN SIGNATURE REQUIREMENTS
Stamped signatures no good for HHAs or hospices, CMS clarifies.You may feel like the feds ... Read more
Competitive Bidding:
ROUND ONE BIDDING NOTICES ROCK DME INDUSTRY
Outraged trade groups plan legal action.Suppliers nationwide are catching a glimpse of the... Read more
ROUND ONE BIDDING NOTICES ROCK DME INDUSTRY
Outraged trade groups plan legal action.Suppliers nationwide are catching a glimpse of the... Read more
Strategy:
BID OFFERS CARRY MANY RISKS
Winning suppliers face an uncertain future under new program.Lucky suppliers who ended up ... Read more
BID OFFERS CARRY MANY RISKS
Winning suppliers face an uncertain future under new program.Lucky suppliers who ended up ... Read more
Billing:
EXPECT DENIALS IF YOU DON'T HAVE REFERRING DOCS' NPIs
Are you ready for the May 23 deadline?When March 1 passed, many providers thought they wer... Read more
EXPECT DENIALS IF YOU DON'T HAVE REFERRING DOCS' NPIs
Are you ready for the May 23 deadline?When March 1 passed, many providers thought they wer... Read more
Education:
LEARN MORE ABOUT THESE CRUCIAL HOME CARE TOPICS
Upcoming Eli audioconferences are chock full of information on sales and marketing, clin... Read more
LEARN MORE ABOUT THESE CRUCIAL HOME CARE TOPICS
Upcoming Eli audioconferences are chock full of information on sales and marketing, clin... Read more
Industry Notes:
TRUSTEES' REPORT, DOC LOBBYING KICK BUDGET NEGOTIATIONS INTO HIGH GEAR
Lawmakers are facing pressure to find Medicare cuts.A recent message about the Medicare pr... Read more
TRUSTEES' REPORT, DOC LOBBYING KICK BUDGET NEGOTIATIONS INTO HIGH GEAR
Lawmakers are facing pressure to find Medicare cuts.A recent message about the Medicare pr... Read more
Prospective Payment System:
TRACK YOUR PPS CLAIMS ADJUSTMENTS OR RISK LOSSES
The PPS revisions are complex, but you can use this tool to get a handle on downcodes. ... Read more
TRACK YOUR PPS CLAIMS ADJUSTMENTS OR RISK LOSSES
The PPS revisions are complex, but you can use this tool to get a handle on downcodes. ... Read more
Clip & Save:
HIPPS CODE QUICK REFERENCE TOOL
Use this tool to check on your claims and figure out your downcodes .... Read more
HIPPS CODE QUICK REFERENCE TOOL
Use this tool to check on your claims and figure out your downcodes .... Read more
Compliance:
KICKBACKS STILL STIR UP THE OIG'S INTEREST
It's not just flagrant fraud that the federal watchdog cares about.The OIG may have slamme... Read more
KICKBACKS STILL STIR UP THE OIG'S INTEREST
It's not just flagrant fraud that the federal watchdog cares about.The OIG may have slamme... Read more
OASIS:
PUT ON YOUR OASIS THINKING CAPS FOR M0826
CMS offers clarification on how to answer the OASIS therapy item.Don't overlook one import... Read more
PUT ON YOUR OASIS THINKING CAPS FOR M0826
CMS offers clarification on how to answer the OASIS therapy item.Don't overlook one import... Read more
Legislation:
BUDGET ONE STEP CLOSER TO COMPLETION -- AND POSSIBLE CUTS
Lawmakers continue to troll for Medicare savings, with home care a prime target.Home care ... Read more
BUDGET ONE STEP CLOSER TO COMPLETION -- AND POSSIBLE CUTS
Lawmakers continue to troll for Medicare savings, with home care a prime target.Home care ... Read more
Industry Notes:
CMS SETS ACCREDITATION DEADLINE FOR BIDDING'S SECOND ROUND
Interested suppliers don't have much time.The Centers for Medicare & Medicaid Services... Read more
CMS SETS ACCREDITATION DEADLINE FOR BIDDING'S SECOND ROUND
Interested suppliers don't have much time.The Centers for Medicare & Medicaid Services... Read more
AUDIO CONFERENCES
March 26--3:00 pm ET Jeffrey Baird presents: Innovative Marketing and Creative Joint ... Read more
March 26--3:00 pm ET Jeffrey Baird presents: Innovative Marketing and Creative Joint ... Read more
Hospice:
MEDPAC CONSIDERS WHACKING HOSPICE WTH 'BLUNT INSTRUMENT'
Massive hospice growth worries advisory body to Congress.The Medicare Payment Advisory Com... Read more
MEDPAC CONSIDERS WHACKING HOSPICE WTH 'BLUNT INSTRUMENT'
Massive hospice growth worries advisory body to Congress.The Medicare Payment Advisory Com... Read more
Statistics:
HOSPICE SPENDING TRIPLES IN 7 YEARS
Take a look at the hospice statistics and trends the Medicare Payment Advisory Commission ... Read more
HOSPICE SPENDING TRIPLES IN 7 YEARS
Take a look at the hospice statistics and trends the Medicare Payment Advisory Commission ... Read more
Accreditation:
CMS PUSHES ACCREDITATION FOR COMPETITIVE BIDDING
Supplier standards, surety bonds also addressed in Open Door Forum.Durable medical equipme... Read more
CMS PUSHES ACCREDITATION FOR COMPETITIVE BIDDING
Supplier standards, surety bonds also addressed in Open Door Forum.Durable medical equipme... Read more
Prospective Payment System:
MORE M0110 PROBLEMS PLAGUE PROVIDERS
Demand bills and denied episodes could cause you big episode sequencing headaches. Is... Read more
MORE M0110 PROBLEMS PLAGUE PROVIDERS
Demand bills and denied episodes could cause you big episode sequencing headaches. Is... Read more
Legislation:
BUDGET CUTS THREATEN HOME CARE PROVIDERS
Watch for a Medicare bill next month. The budget resolutions pending at press time in the ... Read more
BUDGET CUTS THREATEN HOME CARE PROVIDERS
Watch for a Medicare bill next month. The budget resolutions pending at press time in the ... Read more
Education:
TAP THESE RESOURCES FOR VITAL BILLING, COMPLIANCE AND SALES EDUCATION
Upcoming Eli audioconferences offer valuable insights on CPO, joint ventures and PPS. ... Read more
TAP THESE RESOURCES FOR VITAL BILLING, COMPLIANCE AND SALES EDUCATION
Upcoming Eli audioconferences offer valuable insights on CPO, joint ventures and PPS. ... Read more
Industry Notes:
OIG HAMMERS CALIFORNIA SUPPLIERS IN NEW REPORT
Federal watchdog wants CMS to go further in protecting Medicare enrollment.Once again, leg... Read more
OIG HAMMERS CALIFORNIA SUPPLIERS IN NEW REPORT
Federal watchdog wants CMS to go further in protecting Medicare enrollment.Once again, leg... Read more
Managed Care:
MA PLANS CALLED ON THE CARPET FOR HOME CARE COSTS
GAO report leaves out other negatives of MA plans' home care policies, industry says.Commo... Read more
MA PLANS CALLED ON THE CARPET FOR HOME CARE COSTS
GAO report leaves out other negatives of MA plans' home care policies, industry says.Commo... Read more
Competitive Bidding:
INDUSTRY RUNS WITH NEWS OF COMPETITIVE BIDDING STUDY
HHS gets second letter in a week on evidence against program.Federal officials may suddenl... Read more
INDUSTRY RUNS WITH NEWS OF COMPETITIVE BIDDING STUDY
HHS gets second letter in a week on evidence against program.Federal officials may suddenl... Read more
Studies & Surveys:
NEW STUDY DISSECTS FEDS' BIDDING APPROACH
'Gaming' of the system is likely to hurt small suppliers and beneficiaries.The study causi... Read more
NEW STUDY DISSECTS FEDS' BIDDING APPROACH
'Gaming' of the system is likely to hurt small suppliers and beneficiaries.The study causi... Read more
Prospective Payment System:
M0110 ERROR COULD BE STEALING YOUR REIMBURSEMENT
Keep on top of PPS problems to ensure accurate payment. M0110 is hard enough for agen... Read more
M0110 ERROR COULD BE STEALING YOUR REIMBURSEMENT
Keep on top of PPS problems to ensure accurate payment. M0110 is hard enough for agen... Read more
Industry Notes:
INTERMEDIARY SCRUTINIZES PARKINSON'S CLAIMS
Be sure your documentation will back up claims with this red-flag diagnosis.If your Parkin... Read more
INTERMEDIARY SCRUTINIZES PARKINSON'S CLAIMS
Be sure your documentation will back up claims with this red-flag diagnosis.If your Parkin... Read more
Fraud & Abuse:
MEDICARE LIMITS AIDE VISITS IN FRAUD-PRONE AREA
System will automatically deny claims with more than three aide visits per week.Legitimate... Read more
MEDICARE LIMITS AIDE VISITS IN FRAUD-PRONE AREA
System will automatically deny claims with more than three aide visits per week.Legitimate... Read more
Reimbursement:
REPORT SLAMS MEDICARE'S COMPETITIVE BIDDING 'SCHEME'
Suppliers call for suspension of program.Suppliers of durable medical equipment are steppi... Read more
REPORT SLAMS MEDICARE'S COMPETITIVE BIDDING 'SCHEME'
Suppliers call for suspension of program.Suppliers of durable medical equipment are steppi... Read more
Competitive Bidding:
ROUND ONE SUPPLIERS STILL WAITING -- BUT NOT QUIETLY
Use delay to your advantage, supplier reps say.If you're a home medical equipment supplier... Read more
ROUND ONE SUPPLIERS STILL WAITING -- BUT NOT QUIETLY
Use delay to your advantage, supplier reps say.If you're a home medical equipment supplier... Read more
Prospective Payment System:
STAY WARY WHILE PPS KINKS ARE WORKED OUT
As CMS fixes old claims problems, new ones crop up, CMS admits in forum.Major changes to a... Read more
STAY WARY WHILE PPS KINKS ARE WORKED OUT
As CMS fixes old claims problems, new ones crop up, CMS admits in forum.Major changes to a... Read more
Supplies:
REPORT THE RIGHT NONROUTINE SUPPLIES CODES UNDER PPS
New NRS edits to hit next month, CMS warns in forum. The honeymoon period for getting... Read more
REPORT THE RIGHT NONROUTINE SUPPLIES CODES UNDER PPS
New NRS edits to hit next month, CMS warns in forum. The honeymoon period for getting... Read more
Regulations:
FEDS RATCHET UP DMEPOS QUALITY STANDARDS
Suppliers of prosthetics and orthotics: Gear up for training.Get ready to beef up your qua... Read more
FEDS RATCHET UP DMEPOS QUALITY STANDARDS
Suppliers of prosthetics and orthotics: Gear up for training.Get ready to beef up your qua... Read more
Industry Notes:
GET NPIs ON YOUR MEDICARE CLAIMS OR FACE REJECTIONS
The first of two crucial NPI deadlines hit March 1.If you've been slow to implement Nation... Read more
GET NPIs ON YOUR MEDICARE CLAIMS OR FACE REJECTIONS
The first of two crucial NPI deadlines hit March 1.If you've been slow to implement Nation... Read more
Diagnosis Coding:
INTERMEDIARY CRACKS DOWN ON DIAGNOSIS CODING
Can you back up the codes you're choosing for patients?Under the prospective payment syste... Read more
INTERMEDIARY CRACKS DOWN ON DIAGNOSIS CODING
Can you back up the codes you're choosing for patients?Under the prospective payment syste... Read more
Medical Review:
SIDESTEP THESE MEDICAL REVIEW LANDMINES
You're courting claims denials if you don't guard against these common problems.Medical re... Read more
SIDESTEP THESE MEDICAL REVIEW LANDMINES
You're courting claims denials if you don't guard against these common problems.Medical re... Read more
Fraud & Abuse:
SUPPLIERS, BEWARE--AUDITS LIKE THIS COULD BE ON THE WAY
Diabetic supplies firm owes whopping $8 million, feds say.Let a new report from the HHS Of... Read more
SUPPLIERS, BEWARE--AUDITS LIKE THIS COULD BE ON THE WAY
Diabetic supplies firm owes whopping $8 million, feds say.Let a new report from the HHS Of... Read more
Billing:
AUDIT DIABETIC SUPPLY CLAIMS FOR THESE 2 KILLER MISTAKES
Watch overutilization cases carefully. If you bill Medicare for diabetic test strips and l... Read more
AUDIT DIABETIC SUPPLY CLAIMS FOR THESE 2 KILLER MISTAKES
Watch overutilization cases carefully. If you bill Medicare for diabetic test strips and l... Read more
Budget:
PRESIDENT'S BUDGET HOLDS MORE UNPLEASANT SURPRISES
Administrative hospice cut is part of Bush's budget blueprint for 2009.Home care providers... Read more
PRESIDENT'S BUDGET HOLDS MORE UNPLEASANT SURPRISES
Administrative hospice cut is part of Bush's budget blueprint for 2009.Home care providers... Read more
Industry Notes:
HHAs SHOULD CHECK THEIR BIDDING STATUS
If you're in one of 10 DME bidding areas starting this summer, you'll no longer be able to... Read more
HHAs SHOULD CHECK THEIR BIDDING STATUS
If you're in one of 10 DME bidding areas starting this summer, you'll no longer be able to... Read more
Reimbursement:
EXPECT DETOURS ON ROAD TO NPI-ONLY CLAIMS
Tip: Take stock of enrollment status now.Gear up for a rough transition to NPI-only claims... Read more
EXPECT DETOURS ON ROAD TO NPI-ONLY CLAIMS
Tip: Take stock of enrollment status now.Gear up for a rough transition to NPI-only claims... Read more
Billing:
DON'T LET THESE NPI TRAPS KILL YOUR CASH FLOW
No news might turn into really bad news--soon. Now's the time to sound a loud warning if y... Read more
DON'T LET THESE NPI TRAPS KILL YOUR CASH FLOW
No news might turn into really bad news--soon. Now's the time to sound a loud warning if y... Read more
Legislation:
CONGRESS DROPS SURETY BOND BOMB
Senator pushes for ten-fold increase in bond amount.A new Senate bill could be the beginni... Read more
CONGRESS DROPS SURETY BOND BOMB
Senator pushes for ten-fold increase in bond amount.A new Senate bill could be the beginni... Read more
Labor Law:
BEAT THESE 7 COMMON WAGE & HOUR PITFALLS
You may be on the hook for employees who work off the clock. The way you pay your emp... Read more
BEAT THESE 7 COMMON WAGE & HOUR PITFALLS
You may be on the hook for employees who work off the clock. The way you pay your emp... Read more
Lawsuits:
COULD YOUR TRAVEL TIME POLICY COST YOU MILLIONS?
Learn lessons from a recent Wage & Hour settlement. Don’t fall into the tra... Read more
COULD YOUR TRAVEL TIME POLICY COST YOU MILLIONS?
Learn lessons from a recent Wage & Hour settlement. Don’t fall into the tra... Read more
Industry Notes:
BEWARE NEW PPS BILLING GLITCHES
Keep an eye out for cash flow threats.If you're still submitting claims that span the cale... Read more
BEWARE NEW PPS BILLING GLITCHES
Keep an eye out for cash flow threats.If you're still submitting claims that span the cale... Read more
Reader Questions:
KNOW WHICH SUPPLIES COSTS TO REPORT ON CLAIMS
Don't shortchange yourself under new NRS rules. Question: When reporting the &ldq... Read more
KNOW WHICH SUPPLIES COSTS TO REPORT ON CLAIMS
Don't shortchange yourself under new NRS rules. Question: When reporting the &ldq... Read more
Budget:
PRESIDENT CALLS FOR HHA, HOSPICE PAY FREEZE FOR MULTIPLE YEARS
Bush's '09 budget proposal would strip billions from Medicare home care.The President's la... Read more
PRESIDENT CALLS FOR HHA, HOSPICE PAY FREEZE FOR MULTIPLE YEARS
Bush's '09 budget proposal would strip billions from Medicare home care.The President's la... Read more
Budget:
HME CAPS AND CUTS MARK PRESIDENT'S BUDGET -- AGAIN
Educate policy makers about oxygen.Election year or not, 2008 could be the year Medicare c... Read more
HME CAPS AND CUTS MARK PRESIDENT'S BUDGET -- AGAIN
Educate policy makers about oxygen.Election year or not, 2008 could be the year Medicare c... Read more
Legislation:
DON'T IGNORE 'MINOR' BUDGET PROVISIONS
Revisit fees, hospital transfer changes could affect your home care organization.In additi... Read more
DON'T IGNORE 'MINOR' BUDGET PROVISIONS
Revisit fees, hospital transfer changes could affect your home care organization.In additi... Read more
Strategy:
WAKE UP--THE ALARM IS SOUNDING ON HME CUTS
Oxygen suppliers may be especially vulnerable.Washington insiders predict plenty of activi... Read more
WAKE UP--THE ALARM IS SOUNDING ON HME CUTS
Oxygen suppliers may be especially vulnerable.Washington insiders predict plenty of activi... Read more
Prospective Payment System:
CLAIMS SYSTEM FIX CLEARS UP NAGGING PPS PROBLEMS
But more issues are still hanging up some PPS claims.Claims that span the calendar years c... Read more
CLAIMS SYSTEM FIX CLEARS UP NAGGING PPS PROBLEMS
But more issues are still hanging up some PPS claims.Claims that span the calendar years c... Read more
Quality:
FEDS STEP UP FOCUS ON POST-ACUTE CONTINUUM
QIOs step in to promote 'seamless transitions.'Home health agencies will play no small rol... Read more
FEDS STEP UP FOCUS ON POST-ACUTE CONTINUUM
QIOs step in to promote 'seamless transitions.'Home health agencies will play no small rol... Read more
Industry Notes:
DON'T LET MARCH DEADLINE FOR NPIs BLINDSIDE YOUR CLAIMS
Warning: If you fail to use your NPI by March 1, your Medicare claims won't pay.Providers ... Read more
DON'T LET MARCH DEADLINE FOR NPIs BLINDSIDE YOUR CLAIMS
Warning: If you fail to use your NPI by March 1, your Medicare claims won't pay.Providers ... Read more
Prospective Payment System:
TROUBLESHOOT PPS BILLING PROBLEMS BEFORE IT'S TOO LATE
Next Medicare claims processing software fix is due Feb. 4.Prospective payment system clai... Read more
TROUBLESHOOT PPS BILLING PROBLEMS BEFORE IT'S TOO LATE
Next Medicare claims processing software fix is due Feb. 4.Prospective payment system clai... Read more
Enrollment:
JUMP! PROPOSED RULE GIVES SUPPLIERS NEW HOOPS TO CLEAR
Feds tighten standards to fight fraud--but will the changes stop you, too?A proposed rule ... Read more
JUMP! PROPOSED RULE GIVES SUPPLIERS NEW HOOPS TO CLEAR
Feds tighten standards to fight fraud--but will the changes stop you, too?A proposed rule ... Read more
Regulations:
READ FINE PRINT TO FLAG POTENTIAL PROBLEMS
'Little' changes could cause big headaches, experts say.Suppliers of home medical equipmen... Read more
READ FINE PRINT TO FLAG POTENTIAL PROBLEMS
'Little' changes could cause big headaches, experts say.Suppliers of home medical equipmen... Read more
Quality Improvement:
BATTLE AGAINST HOSPITALIZATION RATES VARIES BY REGION
Are your quality efforts hampered by being in one of the nation's least healthy states?You... Read more
BATTLE AGAINST HOSPITALIZATION RATES VARIES BY REGION
Are your quality efforts hampered by being in one of the nation's least healthy states?You... Read more
Reimbursement:
SUPPLIERS WRANGLE WITH NEW NPI REQUIREMENTS
Claims coming back? Tap these resources.Small home medical equipment suppliers may be faci... Read more
SUPPLIERS WRANGLE WITH NEW NPI REQUIREMENTS
Claims coming back? Tap these resources.Small home medical equipment suppliers may be faci... Read more
Industry Notes:
DON'T LET ENDPOINTS END YOUR REIMBURSEMENT
Do you know the ropes for billing daily skilled nursing visits?You'd better pinpoint your ... Read more
DON'T LET ENDPOINTS END YOUR REIMBURSEMENT
Do you know the ropes for billing daily skilled nursing visits?You'd better pinpoint your ... Read more
Education:
GET PPS HELP WITH THESE EDUCATION OPPORTUNITIES
Upcoming Eli audioconferences cover PPS billing, case mix items and supplies. It&rsqu... Read more
GET PPS HELP WITH THESE EDUCATION OPPORTUNITIES
Upcoming Eli audioconferences cover PPS billing, case mix items and supplies. It&rsqu... Read more
Prospective Payment System:
PPS CASH FINALLY BEGINS TO FLOW
But how long will it take to catch up?After nearly three weeks under the revised prospecti... Read more
PPS CASH FINALLY BEGINS TO FLOW
But how long will it take to catch up?After nearly three weeks under the revised prospecti... Read more
Accreditation:
VIGILANCE KEY TO ACCREDITATION SUCCESS, FEDS SAY
PMD suppliers should pay attention.The feds tried to calm fears in a recent conference cal... Read more
VIGILANCE KEY TO ACCREDITATION SUCCESS, FEDS SAY
PMD suppliers should pay attention.The feds tried to calm fears in a recent conference cal... Read more
Diagnosis Coding:
GET YOUR CODING SEQUENCING RIGHT UNDER PPS
V codes are just one of many sequencing concerns that could cost you precious dollars.Codi... Read more
GET YOUR CODING SEQUENCING RIGHT UNDER PPS
V codes are just one of many sequencing concerns that could cost you precious dollars.Codi... Read more
Hospice:
PROCEED WITH CAUTION ON CERTIFICATION SIGNATURES
Feds' preliminary 'heads up' to contractors may not be enough.Hospice providers gained gro... Read more
PROCEED WITH CAUTION ON CERTIFICATION SIGNATURES
Feds' preliminary 'heads up' to contractors may not be enough.Hospice providers gained gro... Read more
Industry Notes:
MEDICARE BUDGET DEBATE GETS ROLLING
Keep an eye out for early legislative developments that could put you at risk.Congress can... Read more
MEDICARE BUDGET DEBATE GETS ROLLING
Keep an eye out for early legislative developments that could put you at risk.Congress can... Read more
Regulations:
STEER CLEAR OF THESE 2 ACCREDITATION MISTAKES
Tip: Allow six months from application to accreditation.Suppliers seeking accreditation to... Read more
STEER CLEAR OF THESE 2 ACCREDITATION MISTAKES
Tip: Allow six months from application to accreditation.Suppliers seeking accreditation to... Read more
Prospective Payment System:
PAYMENT PROBLEMS PERSIST UNDER PPS CHANGES
Providers hold their breath as Medicare sorts out claims system glitches.The cash flow gus... Read more
PAYMENT PROBLEMS PERSIST UNDER PPS CHANGES
Providers hold their breath as Medicare sorts out claims system glitches.The cash flow gus... Read more
Competitive Bidding:
EXPECT ROUND TWO DETAILS THIS SPRING
Seek accreditation now, feds coach.The starting bell has sounded for the next round of com... Read more
EXPECT ROUND TWO DETAILS THIS SPRING
Seek accreditation now, feds coach.The starting bell has sounded for the next round of com... Read more
Reimbursement:
KEEP PHYSICIAN SIGNATURES--AND CLAIMS--ON TRACK
Faxes and electronic signatures are OK (again) for hospice certifications, but stamped sig... Read more
KEEP PHYSICIAN SIGNATURES--AND CLAIMS--ON TRACK
Faxes and electronic signatures are OK (again) for hospice certifications, but stamped sig... Read more
Documentation:
TAKE THESE 4 PRECAUTIONS TO AVOID CLAIMS PROBLEMS
Review your policies on physician signatures.Take a little-known Medicare transmittal, add... Read more
TAKE THESE 4 PRECAUTIONS TO AVOID CLAIMS PROBLEMS
Review your policies on physician signatures.Take a little-known Medicare transmittal, add... Read more
Budget:
MEDPAC RECOMMENDS HHA RATE FREEZE -- AGAIN
Profit margins will dog industry's legislative efforts in coming months.The Medicare Payme... Read more
MEDPAC RECOMMENDS HHA RATE FREEZE -- AGAIN
Profit margins will dog industry's legislative efforts in coming months.The Medicare Payme... Read more
Regulations:
DON'T LET HOMEBOUND DEFINITION DRIVE YOU CRAZY
CMS addresses homebound restrictions, hospice COPs in Open Door Forum. One regional h... Read more
DON'T LET HOMEBOUND DEFINITION DRIVE YOU CRAZY
CMS addresses homebound restrictions, hospice COPs in Open Door Forum. One regional h... Read more
Industry Notes:
CMS PUSHES SELF-DIRECTED CARE
Medicaid benes would hire and manage their own assistants under proposed rule.If your busi... Read more
CMS PUSHES SELF-DIRECTED CARE
Medicaid benes would hire and manage their own assistants under proposed rule.If your busi... Read more
Prospective Payment System:
MEDICARE CLAIMS SYSTEM MELTDOWN HOLDS UP PPS PAYMENTS
Intermediaries are sitting on RAPs while CMS scrambles to fix the system.The bad news home... Read more
MEDICARE CLAIMS SYSTEM MELTDOWN HOLDS UP PPS PAYMENTS
Intermediaries are sitting on RAPs while CMS scrambles to fix the system.The bad news home... Read more
Billing:
PPS TRANSITION WEIGHS HEAVILY ON HHAs
Many agencies are groaning under software burden. Home health agency staff rang in th... Read more
PPS TRANSITION WEIGHS HEAVILY ON HHAs
Many agencies are groaning under software burden. Home health agency staff rang in th... Read more
Competitive Bidding:
MAJOR BIDDING EXPANSION IS ON -- ARE YOU READY?
CMS will firm up time frame soon.Home medical equipment suppliers in most of the n... Read more
MAJOR BIDDING EXPANSION IS ON -- ARE YOU READY?
CMS will firm up time frame soon.Home medical equipment suppliers in most of the n... Read more
Regulations:
COMPETITIVE BIDDING ROLLS OUT TO 70 MORE AREAS
Expect reimbursement cuts of 20% or more.If you're a supplier of home medical equipment ne... Read more
COMPETITIVE BIDDING ROLLS OUT TO 70 MORE AREAS
Expect reimbursement cuts of 20% or more.If you're a supplier of home medical equipment ne... Read more
Reimbursement:
BIDDING MIX-UP PUTS NEW BURDEN ON SUPPLIERS
Official deadline to comment has passed, but you can still speak up.Home medical equipment... Read more
BIDDING MIX-UP PUTS NEW BURDEN ON SUPPLIERS
Official deadline to comment has passed, but you can still speak up.Home medical equipment... Read more
Appeals:
HHS PROPOSES RULE TO GET ALJs IN LINE
Don't count on an independent hearing from the judges.Moving the administrative law judges... Read more
HHS PROPOSES RULE TO GET ALJs IN LINE
Don't count on an independent hearing from the judges.Moving the administrative law judges... Read more
Industry Notes:
TAKE ADVANTAGE OF NEW PPS EDUCATIONAL MATERIALS
Got a PPS question? You might find your answer online.The government and its contractors a... Read more
TAKE ADVANTAGE OF NEW PPS EDUCATIONAL MATERIALS
Got a PPS question? You might find your answer online.The government and its contractors a... Read more
Marketing:
DON'T FORGET SALES REPS WHEN TRAINING FOR PPS CHANGES
Maximize your marketers' impact by keeping them in the loop.With prospective payment syste... Read more
DON'T FORGET SALES REPS WHEN TRAINING FOR PPS CHANGES
Maximize your marketers' impact by keeping them in the loop.With prospective payment syste... Read more
Accreditation:
ANTE UP FOR ACCREDITATION--OR LOSE MEDICARE PAYMENTS
Newly announced deadline disappoints accreditation advocates.Suppliers of durable medical ... Read more
ANTE UP FOR ACCREDITATION--OR LOSE MEDICARE PAYMENTS
Newly announced deadline disappoints accreditation advocates.Suppliers of durable medical ... Read more
Regulations:
FEDS' MESSAGE TO SUPPLIERS--WE WON'T BACK DOWN
Low-volume suppliers of home medical equipment received a wake-up call in December--a call... Read more
FEDS' MESSAGE TO SUPPLIERS--WE WON'T BACK DOWN
Low-volume suppliers of home medical equipment received a wake-up call in December--a call... Read more
OASIS:
USE THIS OASIS REPORTING OPT-OUT TO BOOST YOUR OUTCOMES
Reporting single-visit data when you don't have to will hurt your standing.Watch out: You ... Read more
USE THIS OASIS REPORTING OPT-OUT TO BOOST YOUR OUTCOMES
Reporting single-visit data when you don't have to will hurt your standing.Watch out: You ... Read more
Referrals:
HELP YOUR REFERRING DOCS BILL FOR HOSPICE PATIENTS
Teaching referral sources how to use modifiers can help them gain their rightful Medicare ... Read more
HELP YOUR REFERRING DOCS BILL FOR HOSPICE PATIENTS
Teaching referral sources how to use modifiers can help them gain their rightful Medicare ... Read more
Hospice:
COST OF HOSPICE CARE ON FEDERAL RADAR SCREEN--AGAIN
Get ready to defend your claims for patients in nursing homes, thanks to new OIG report.Th... Read more
COST OF HOSPICE CARE ON FEDERAL RADAR SCREEN--AGAIN
Get ready to defend your claims for patients in nursing homes, thanks to new OIG report.Th... Read more
Industry Notes:
HHS WANTS TO BRING ALJs, DAB TO HEEL
ALJs' independence threatened with new proposed rule.You could have a much tougher time ge... Read more
HHS WANTS TO BRING ALJs, DAB TO HEEL
ALJs' independence threatened with new proposed rule.You could have a much tougher time ge... Read more