Home Health & Hospice Week
Decode Your Appeal Status In DDE With This Info
Once you've filed an appeal for a Medi-care claim, you can turn to the Direct Data Entry system for updates. "To help reduce the need to contact the [Provider Contact Center] regarding the status of an appeal, please note that Palmetto GBA providers are notified of an appeal decision via the Remittance Advice (RA) or providers may check the status of an appeal in the Direct Data Entry (DDE) system," the HHH MAC instructs on its website. Once a redetermination has been made, providers will find these explanatory abbreviations outlined in DDE on page four: CREV or PCREV (fully favorable, full reversal), PPREV (partially favorable, partial reversal), and AFFIRM or AFFM (unfavorable, denied). Take note: "Palmetto GBA does not issue letters for fully favorable appeals," the MAC re-minds providers.
Home Health & Hospice Week
- Prospective Payment System:
Home Care Providers Slam 2013 Cuts For Case Mix Creep
Rural areas see access problems, reps say.Home health agencies should see an increase in their [...] - Finance:
Is Your Cost Report Data Good Enough To Base Your Rates On?
Providers want rebasing year moved to 2011.The feds are gearing up for PPS rebasing, but [...] - Reimbursement:
Commenters Plead With CMS To Fix Wage Index Problems
HHAs face uneven playing field against hospitals.Every year, providers protest the inequities of the current [...] - Billing:
Get Your Docs' NPIs On The Claim By January
PECOS edit deadline continues to hang over providers' heads.You'd better make sure you have your [...] - Industry Note:
Post-Acute Bundling Looms On Home Care Horizon
Will hospitals control HHA payments some day?The results aren't yet in from demonstration projects that [...] - Industry Note:
Check Your 2013 Hospice Medicaid Rates
Hospices waiting for official notice of Medicaid rates will find they look very familiar, since [...] - Industry Note:
Shadow Your CAHPS Vendor
You -- not your vendor -- will be left holding the bag if your vendor fails to [...] - Industry Note:
MAC Sends Takebacks In Blue Envelopes
You may soon get to dislike the color blue, if HHH Medicare Administrative Contractor CGS [...] - Industry Note:
Decode Your Appeal Status In DDE With This Info
Once you've filed an appeal for a Medi-care claim, you can turn to the Direct [...] - Industry Note:
National Chain Makes Buys On West, Gulf Coasts
National chain Gentiva Health Services Inc. has a few more feathers to put in its [...] - Industry Note:
New York Times Profiles Hospice Patient Appeal Case
Hospices can expect to hear more about beneficiaries appealing their coverage of items and services, [...] - Industry Note:
HHA Owner Gets 20 Months For OASIS Falsification
Illegally changing OASIS assessments has netted one Illinois woman a 20-month prison sentence. Merigrace Orillo, [...] - Industry Note:
Hospital Acquisition Of County HHA Stalls In Georgia
The sale of Wayne County, Ga.'s home health department may stall thanks to management controversy. [...]
