Home Health & Hospice Week
Industry Note:
Beware: NPI Doesn't Equal PECOS Enrollment
Published on Fri Mar 22, 2013
Beware: just because you have a physician’s NPI, doesn’t mean he’s in the PECOS system. Starting in May, your claims will be denied when the ordering physician is not part of PECOS.
How this happens: If the referring/ordering doctor has a valid NPI but has not updated his enrollment in the last five years, he may not be in the PECOS system.
Other Articles in this issue of
Home Health & Hospice Week
- Regulations:
Keep Your Eyes Peeled For These HHA Developments In 2013
Get ready for OASIS C-1 revamp.
Home health agencies will have their hands [...] - Survey & Certification:
Guard Against Plan Of Care Survey Deficiencies
Sidestep this common survey pitfall with excellent physician communication. With alternative sanctions coming down [...] - Billing:
New Comparative Billing Reports Hit HHAs' Mailboxes
Problem: Benchmarking reports target high wage index providers, trade group protests. If you’re one [...] - Hospice:
Nursing Home Survey Changes Stress Palliative Care Duties
Skilled nursing facilities may need your help now more than ever. You can help [...] - Education:
Point Nursing Homes To These Survey Guidance Specifics On Palliative Care
More than one F tag is involved in end-of-life care compliance for skilled nursing facilities. [...] - Industry Note:
HHS Showcases Home Care Fraud In Latest Report
Authorities aren’t giving personal care services providers a pass anymore. If you think Medicare [...] - Industry Note:
More Than 1/3 Of Hospitalized Medicare Benes Discharged
With more than a third of hospitalized Medicare beneficiaries discharged to home care, you can [...] - Industry Note:
Avoid Extra HHABN Burden
Don’t get too detailed on the HHABNs you hand out, or you may cause yourself [...] - Industry Note:
Prior Authorization For Therapy Gone
If you furnish Part B outpatient therapy in the home, there’s no longer a way [...] - Industry Note:
Obama Appoints Home Care Rep
Home care will see some representation in the new Long Term Care Commission appointed by [...] - Industry Note:
Beware: NPI Doesn't Equal PECOS Enrollment
Beware: just because you have a physician’s NPI, doesn’t mean he’s in the PECOS system. [...] - Industry Note:
Chain Offers CEUs For Physician Education
Looking for a way to help out your referral sources and your patients at the [...] - Industry Note:
Hospice Cuts Staff Hours In Face Of Sequestration
The 2 percent sequestration cuts scheduled for April 1 are already affecting home care providers. - Industry Note:
Home Care Mergers & Acquisitions Continue
Reimbursement uncertainties such as sequestration cuts don’t seem to be impacting mer-gers and acquisitions activities [...] - Industry Note:
Physician Sentenced To 5 Years For Home Care Fraud
A Houston physician has drawn a five-year prison sentence for falsifying home health plans of [...] - Industry Note:
Detroit-Area HHA Owner Indicted For Fraud
A Detroit-area pharmacy owner indicted in a massive drug fraud scheme also ran a home [...]
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