Home Health & Hospice Week
Feds Implement RAC Checks And Balances.
CMS is using multiple tools to keep its bounty hunters accountable. Recovery Audit Contractors must use certified coders for all coding determinations, and are required to use registered nurses or therapists "for other types of reviews, and they're also required to have a physician medical director on staff to oversee the review process," indicated CMS's Amy Reese, project officer for Region C RAC (Connolly Healthcare), during a recent RAC Open Door Forum. RACs also must hire RAC Validation Contractors to perform accuracy reviews. "What they're doing is taking a sample of each RAC's claims and making a decision as to whether they agree with the RAC's improper payment determination on the claim," Reese said on the call. "From there they'll determine an accuracy score." CMS will release those scores to the public yearly.
Home Health & Hospice Week
- Therapy:
Get Ready For Required Measurements, Reassessments For Therapy
CMS cracks down on therapy utilization in 2011 PPS proposed rule. Are you hearing the [...] - Prospective Payment System:
New Regs Likely To Intensify HHA Therapist Shortage
Get started on improving your therapy documentation right now. If your therapists have gotten sloppy [...] - Billing:
PPS Rule Targets Therapy Assistant Use For Scrutiny
CMS wants new G codes for assistant visits. You might have to use therapy assistants [...] - Labor Law:
Lawmakers Want To Kill HHA Companionship Exemption
New legislation tackles the hotly contested topic. The way your agency furnishes home care aides [...] - Industry Notes:
CMS Issues Bidding Instructions To HHAs
Be aware of your area's bidding status. Don't expect competitive bidding to pass you by [...] - DME Suppliers Continue Fight Against Competitive Bidding.
• Meanwhile, DME suppliers continue to fight against the competitive bidding program. In addition to [...] - OIG Shines Spotlight On Language Services.
If you haven't conducted a four-factor assessment when determining what language access services to offer, [...] - Feds Implement RAC Checks And Balances.
CMS is using multiple tools to keep its bounty hunters accountable. Recovery Audit Contractors must [...] - Follow Contractor's Q Code Advice For Hospice
Choosing the right Q code for your hospice patient can be tricky. Follow this rule [...] - CMS To Pharmacies:
Don't Dump Accreditation Yet
The economic stimulus bill last year gave pharmacies until Jan. 1, 2011 to comply with [...] - Tap Accreditor's Resources For Falls Prevention Help
You've got an ally in your efforts to protect your patients from falls -- The Joint [...] - Therapy Inquiry Dogs HHA Companies, Despite Profits
Publicly traded home care companies continue to fight the effects of Senate and Securities and [...] - National Chain Sets Sights On Med Cert Market
A national home care chain is looking to beef up its Med-cert presence. Willing Holding [...] - Five Defendants Plead Guilty In Florida HHA Scam
Five South Floridians have pled guilty to their parts in a home health agency scheme, [...]
