Home Health & Hospice Week
Certifying Physician Must Go On Claim
Are you out of compliance with a Medicare claims requirement to put two physicians on the claim? One HHH Medicare Administrative Contractor’s guidance may indicate you are. Question: “Does the Certifying Physician in the Home Health agency record need to be reported on the claim?” one home health agency asked Palmetto GBA. Answer: “Home Health Agencies are required to report on the claim the name and National Provider Identifier (NPI) of the physician who certifies/re-certifies the patient’s eligibility (Certifying Physician),” Palmetto explains on its website. “This is in addition to reporting the NPI and name of the physician who signs the patient’s plan of care (Attending Physicians) when the attending physician is not the same physician who certified/recertified the patient’s eligibility to receive services under the Medicare Home Health benefit.”
Home Health & Hospice Week
- Pre-Claim Review:
FL Agencies Face PCR Starting April 1 — No Exceptions
Illinois agencies improve affirmation rates. Home health agencies in the next state to get hit [...] - Fraud & Abuse:
Check Out The 3 New Safe Harbors Most Likely To Apply To You
Are you considering offering free transportation to your patients? Medicare’s shift in focus to patient [...] - OASIS:
Make Sure You're In Compliance With M1060b Guidelines
New Q&As highlight one exemption. Clinicians completing OASIS have had their hands full with OASIS-C2 [...] - HIPAA:
Use Authentication To Protect Against HIPAA Violations
Make some new priorities related to cyberattacks and hacking. You may be getting a false [...] - Human Resources:
Help Your Employees Deal With Their Baggage
Are your expectations realistic? If you expect your employees to leave their personal issues at [...] - Industry Note:
You Need This Item Before Appealing RAC Denial
Don’t jump the gun. Homecare providers are waiting to see what topics get approved for [...] - Industry Note:
Re-Run These Hospice Reports
If you’ve run any Hospice-Level Quality Measure Reports or Hospice Patient Stay-Level Quality Measure Reports [...] - Industry Note:
Medicaid Fraud Control Units Rack Up Indictments
It’s not just federal authorities who will be scrutinizing you for fraud. State Medicaid Fraud [...] - Industry Note:
Certifying Physician Must Go On Claim
Are you out of compliance with a Medicare claims requirement to put two physicians on [...] - Industry Note:
Medicare Launches CCM Awareness Campaign
Medicare is making a push to raise awareness of its Chronic Care Management services, and [...] - Industry Note:
Physicians Must Document F2F, CMS Stresses
Ahead of Pre-Claim Review’s April 1 launch in Florida, the Centers for Medicare & Medicaid [...] - Industry Note:
Hospice-Paramedic Partnerships Reduce ER Visits
Hospices looking for ways to reduce their costs and build better relationships with their hospital [...] - Industry Note:
HHA Owner Indicted For $15 Million Fraud Scheme
A Miami home health agency owner has been indicted on Medicare fraud charges, the Department [...] - Industry Note:
2 Ohio Agency Owners Convicted Of Medicaid Fraud
Two owners of an Ohio home care agency have been found guilty of Medicaid fraud [...]
