Home Health & Hospice Week
Beware Edit 31755 In New Year
Don’t forget: It’s not just OASIS-E changes that may be snarling your systems come Jan. 1. A newly revived claims edit may provide a roadblock on your reimbursement highway. Old way: “To allow for the prompt submission of [Requests for Anticipated Payment], Medicare revised home health billing instructions to allow submission of: Future dated RAPs [and] RAPs for second and later periods of care before the first visit in the period is provided,” HHH Medicare Administrative Contractor CGS reminds home health agencies in a new post to its website. New way: “In January 2023, the timely filing period for home health periods of care furnished in 2021 will be over,” CGS says. And “a one-time home health Notice of Admission replaced the submission of RAPs in 2022,” the MAC reminds. “Since the CR 11855 RAP submission instructions no longer apply, CMS instructed MACs to reactivate reason code 31755 when the January 2023 release is implemented on January 3, 2023.” See CR 11855 at www.cms.gov/files/document/r10696CP.pdf.
Home Health & Hospice Week
- Budget:
MedPAC Gears Up To Push 7% Cut To Home Health Pay
Sky-high profit margin puts target on HHAs’ backs. Home health agency numbers and Medicare home [...] - Payment:
MedPAC Commissioners Express Enthusiasm For Home Health Copays
Medicare beneficiaries don’t have enough skin in the game, advisors to Congress argue. Watch out: [...] - Hospice:
MedPAC Set To Play Hospice Cap Broken Record — Again
One-third of hospices would exceed cap under lower threshold, according to estimates. “If at first [...] - Value-Based Purchasing:
Home Health VBP Is CMS Innovation Center Darling
Jan. 1 start date holds, as CMS celebrates saving a million dollars with the program. [...] - Industry Notes:
Keep An Eye On Budget Legislation As 2022 Winds Down
Details remain fuzzy for the moment. Whether you see higher or lower payment rates in [...] - Industry Notes:
Beware Edit 31755 In New Year
Don’t forget: It’s not just OASIS-E changes that may be snarling your systems come Jan. [...] - Industry Notes:
Hospice MCCM Program's Stumbles Highlighted In New CMS Innovation Center Report
The hard time hospices had getting patients to enroll in the Medicare Care Choices Model [...] - Industry Notes:
Check Out Latest CDC Offering For COVID Prep
You can help your patients prepare for possible COVID cases with a new government resource. [...] - Industry Notes:
Risk Your Reimbursement If Your F2F Documentation Fails The Test
Don’t forget the details of your F2F duties, with so much else on your plate. [...] - Industry Notes:
HIPAA Noncompliance Can Lead To Jail Time, Recent Case Shows
If you think a HIPAA violation won’t land you with a prison term, think again. [...] - Industry Notes:
PE-Backed Chain Makes Indiana Buy
The Care Team based in Farmington Hills, Michigan, has acquired 1st Care Home Health and [...] - Industry Notes:
Excluded CNA Costs Agency 6 Figures
Heed another reminder of why you need to check the OIG exclusions list. Summit Management [...]
