Home Health & Hospice Week
Check Your RAP Numbers
PEPPER reports aren’t the only Medicare sources for seeing how you stack up to your peers. HHH Medicare Administrative Contractor Palmetto GBA reminds the home health agencies it serves that they can request Comparative Billing Reports (CBRs) that detail their Request for Anticipated Payment stats. “This Comparative Billing Report (CBR) focuses on home health agency (HHA) Requests for Anticipated Payment (RAPs) and the percentage of these RAPs that are cancelled,” Palmetto explains. “CBR information is one of the many tools used to assist individual providers in becoming proactive in addressing potential billing issues and performing internal audits to ensure compliance with Medicare guidelines.” The report contains four measures: The ratio of cancelled RAPs to all claims; the ratio of claims that are greater than 60 days to all claims; the ratio of beneficiaries with two or more admit dates to all beneficiaries; and the ratio of RAPs to all claims. A link to information about the reports, including how to request them, is at www.palmettogba.com/palmetto/providers.nsf/vMasterDID/B6NK8K0442. CGS’s page about the reports, including a link to a job aid, is at https://cgsmedicare.com/hhh/pubs/news/2019/0419/cope12053.html.
Home Health & Hospice Week
- Patient-Driven Groupings Model:
Majority Of HHAs Expect To Decrease Therapy Under PDGM, Survey Says
Providers also plan to drop therapists — both contract and directly employed. The elimination of [...] - Therapy:
Consider These Strategies When Devising Your PDGM Plan
Cutting therapy brings serious compliance risks, industry leader warns. Home health agencies can’t afford to [...] - HIPAA:
Now The Fine Will Fit The HIPAA Crime — Or At Least Violation
Don’t forget to add inflation updates to the final fine amount. Experiencing a HIPAA breach [...] - Human Resources:
Create Or Bolster Your Employee Handbook Now
A well-written handbook can ensure consistency. Now’s the time to make sure you have a [...] - Industry Note:
New PEPPER Reports Expected Next Month
Sign up for training on how to use the free benchmarking info. Next month you’ll [...] - Industry Note:
Check Your RAP Numbers
PEPPER reports aren’t the only Medicare sources for seeing how you stack up to your [...] - Industry Note:
Prepare For Switch To HETS
The first step of the elimination of ELGA, ELGH, HIQA, and HIQH inquiries is here. [...] - Industry Note:
CMS Continues Its Medicaid Fraud-Fighting Campaign
A year into its Medicaid Program Integrity Strategy, the Trump administration is ready to claim [...] - Industry Note:
HHS Awaits Permanent Inspector General
The Department of Health & Human Services has yet to fill its Inspector General position [...] - Industry Note:
Watch For Safe Harbor Rule This Month
In addition to fireworks and the highly anticipated 2020 home health payment proposed rule, July [...] - Industry Note:
Heed NPWT Change
If you bill for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device, don’t overlook [...] - Industry Note:
Tap Free Video Training
If watching videos is your preferred mode of education, HHH Medicare Administrative Contractor CGS has [...] - Industry Note:
Note Appeals Changes
On July 8, multiple changes to Medicare appeals rules will take effect. Those revisions range [...] - Industry Note:
State To Give Home Care Workers Back Pay
At press time, more than 49,000 Illinois home care workers were scheduled to get back [...] - Industry Note:
Former Hospice Owner Sentenced In Arkansas
A former hospice owner has been sentenced in state court to five years in prison [...] - Industry Note:
Fight Readmissions With Nutrition
If you’re trying to whittle down your hospital readmission rates, you may want to look [...]
