Home Health & Hospice Week
Add This Requirement July 1
Don’t be surprised if your Medicare Ad-vantage managed care payers ask you to start putting HIPPS codes on your claims submitted to them.
"Effective July 1, 2013 home health agencies will be required to include a Health Insurance Prospective Payment System (HIPPS) code on Medicare Advantage (MA) claims," reports the Na-tional Association for Home Care & Hospice. "The Centers for Medicare & Medicaid Services (CMS) has instructed MA organizations to reject any home health claim that does not include a HIPPS code."
Problem: CMS hasn’t communicated this information directly to HHAs. And agencies may have a hard time with the requirement, NAHC notes. "There are several significant logistical problems that agencies will have in order to comply with this requirement, particularly agencies that are reimbursed on a per visit basis by the health plan," the trade group says in its member newsletter. "Agencies will need some lead time to alter their software systems to accommodate the per-visit contracts. Additionally, specific changes that need to be made to software systems are unclear."
Home Health & Hospice Week
- Compliance:
Medicare Cracks Down On F2F Documentation
The other shoe has dropped for this burdensome regulatory requirement. You can watch your Medicare [...] - Regulations:
Under Increasing Scrutiny, Avoid These F2F Pitfalls
Does your docs’ F2F documentation include an explanation of clinical findings? Medical reviewers are poring [...] - Medical Review:
Use These 7 Tips To Head Off F2F Denials
Tip: If you have to appeal, use the physician’s visit note for support. With medical [...] - Reimbursement:
MAC Fails To Dock Hospitals For Post-Acute Transfers To Home Health
One Medicare contractor is on the hook for paying hospitals millions in error for patients [...] - Industry Note:
MAC Denies Nearly One-Third Of Claims In Hospice Review
Denial reasons differ for first versus later hospice benefit periods. Make sure your certifications and [...] - Industry Note:
Use These Benchmarks To Assess Your Billing Practices
Watch for your new hospice comparative billing report to come soon. SafeGuard Services is scheduled [...] - Industry Note:
Add This Requirement July 1
Don’t be surprised if your Medicare Ad-vantage managed care payers ask you to start putting [...] - Industry Note:
CMS Implements New Overpayment Rule
CMS has found a clever way to ensure that you repay money that the program [...] - Industry Note:
Use New MAC Resource For Billing Training
Need to brush up on home health billing basics? Or perhaps you’re looking for a [...] - Industry Note:
Know This Signature Rule For Plans Of Care
Give yourself fewer physician signatures to collect by organizing your plan of care correctly. Physicians [...] - Industry Note:
One State's HH Utilization Draws Attention
Texas home health agencies are squarely under the feds’ microscope. An OIG report last fall [...] - Industry Note:
Staffer Embezzles $840K From Home Health Agency
Home health agencies have another cautionary tale about unchecked employees, this time from the state [...] - Industry Note:
Hospice Owes Medicare $112 Million, Govt Says
The government has filed its claim in the high-profile bankruptcy case of San Diego Hospice. [...] - Reader Question:
Don't Risk Your Compliance -- Or Your Reimbursement -- With Too-Early Hospice Certification
Know your cert timelines to avoid problems. Question: I know we have until two days [...]
