Home Health & Hospice Week
Brace For PEP Takebacks With These 3 Steps
Even with an extended recovery period, home health agencies are likely to see a heavy financial toll due to partial episode payment (PEP) adjustments. Unknown to them, many agencies have been receiving extra payments for patients that transferred to other agencies or were readmitted. One agency in Massachusetts found out it will see more than $400,000 in recoupments due to PEPs. To weather the PEP storm, the National Association for Home Care & Hospice suggests HHAs follow these three steps: 1. Review a PEP sample. When CMS makes the PEP information available for all adjustments before it starts recovering the funds, agencies should review a sample of the claims for errors. If they find any, they should contact their intermediary. 2. Establish a reserve. To minimize cash flow impact, HHAs should establish a reserve for their potential PEP liability. 3. Hope for victory. If NAHC and the other trade associations are successful in convincing the Centers for Medicare & Medicaid Services to forgive some of the PEP debt, agencies' liability will be reduced. Await the final word.
Home Health & Hospice Week
- Reimbursement:
CMS Waits To Pounce On $250 Million In PEP Recoupments
The Centers for Medicare & Medicaid Services still plans to reach into your pocket for [...] - Billing:
Brace For PEP Takebacks With These 3 Steps
Even with an extended recovery period, home health agencies are likely to see a heavy [...] - Diagnosis Coding:
HIPAA Enforcement Will Include V Codes
If you haven't set your training schedule for V and E diagnosis codes yet, now [...] - Billing:
Wheel Out Those Denied Wheelchair Claims Again
There's good reimbursement news for DME suppliers that have seen claims denials for manual wheelchairs [...] - Regulations:
Other Open Door Forum Highlights
Other topics covered in the Centers for Medicare & Medicaid Services' June 4 Open Door [...] - Referrals:
Hospital Stats Could Change Your Referral Stream
The Centers for Medicare & Medicaid Services is pushing ahead with plans to publish hospitals' [...] - Fraud & Abuse:
Messing With Docs' Numbers Brings DME Supplier Prison Time
Providers and billing companies should take pains to recognize the sanctity of physicians' billing numbers, [...] - Industry Notes:
Hold Off On HIPAA Agreements With Intermediaries, Carriers
You might not have as many Health Insurance Portability and Accountability Act business associate agreements [...]
