Home Health & Hospice Week
CMS Trains Docs On NPIs
If you're dealing with physicians who are stymieing your efforts to bill correctly, CMS is giving you a helping hand. "When billing Medicare, Home Health Agencies (HHAs) must use the individual National Provider Identifier (NPI) of the physician who orders/refers services, not the NPI of the physician's group practice," CMS tells docs in a new listserv message. "If an HHA asks for your NPI, be sure to provide your individual NPI." Physicians who don't know their individual NPI can look it up in CMS's NPI registry at https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistry Home.do, CMS tells them. If you need more help getting your physicians to comply with billing requirements, you can point them to a newly revised CMS fact sheet, "Medicare Enrollment Guidelines for Ordering/ Referring Providers." "You need to ensure you have an NPI and a current Medicare enrollment record in Internet-based PECOS that includes your NPI," CMS tells physicians in the fact sheet at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MedEnroll_OrderReferProv_FactSheet_ICN906223.pdf. The fact sheet contains directions on applying for an NPI and enrolling in PECOS. Watch out: CMS's educational efforts aimed at physicians likely presage its readiness to implement PECOS edits " edits of home health claims that will kick out claims that lack a physician with a valid NPI and PECOS record.
Home Health & Hospice Week
- Prospective Payment System:
PPS Rates To Stay Flat Next Year
But watch out for legislative reimbursement cuts.For the first time in years, home health agencies [...] - Therapy:
Proposed Therapy Visit Ranges Spell Trouble Ahead
CMS wants to eliminate the 'close to' standard for multi-discipline episodes.One therapy reassessment requirement will [...] - Regulations:
Get Ready For Intermediate Sanctions To Change Your Compliance World
2013 proposed rule also addresses hospice quality reporting.One of the biggest regulatory changes to hit [...] - Hospice:
Will An OASIS For Hospice Come Your Way Soon?
Get a glimpse of the hospice quality measures on CMS's requirement short list.Expect to see [...] - Certification:
Physicians' F2F Documentation Continues To Challenge HHAs
Proposed rule fails to address crucial face-to-face problems.A small change to face-to-face physician encounter requirements [...] - Hospice:
OIG Calls For Crackdown On Hospice-Related Drugs
Medicare paid Part D plans $34 million for medications that hospices should have covered, new [...] - Human Resources:
Follow Up Promises With Action
Working on your trust-building skills will reap rewards for both you and your team.One of [...] - Industry Note:
Make Sure Teaching For Dementia Patients Includes This Documentation
Tip: Training caregivers counts toward this skilled need, new MAC article says.Worried about receiving denials [...] - Industry Note:
Medicaid To Expand
Now that the U.S. Supreme Court has upheld the majority of the Affordable Care Act, [...] - Industry Note:
CMS Trains Docs On NPIs
If you're dealing with physicians who are stymieing your efforts to bill correctly, CMS is [...] - Industry Note:
Submit Discharges Timely
To avoid hassles from durable medical equipment suppliers, you should get your discharge claims in [...] - Industry Note:
Diabetes Incidence Grows
Don't be surprised to see an increasingly larger percentage of diabetic patients. Advances in medical [...] - Industry Note:
HHA Teaches Med Students
A Rhode Island home care provider will take an active role in making sure physicians [...] - Industry Note:
Chain Makes Texas Deals
LHC Group Inc. has entered into a home health joint venture with 25-hospital Texas Health [...] - Industry Note:
Feds Indict In Chicago
The crackdown on home health fraud continues, and it's not being tempered for physicians involved [...]
