Home Health & Hospice Week
Demo For Doc, NP Visits At Home Gets Green Light
Medicare beneficiaries will receive more care at home under a new demonstration, but the care won't come via home health agencies. The new Independence at Home Demonstration "greatly expands the scope of in-home services Medicare beneficiaries can receive" by providing chronically ill patients with a complete range of primary care services" from physicians and nurse practitioners in medical practices, CMS says in a release. Up to 50 practices will be selected and each must serve at least 200 Medicare fee-for-service beneficiaries with multiple chronic conditions and functional limitations, CMS explains. Home care opportunity: "Practices in the demonstration will be responsible for coordinating patient care with other health and social service professionals," CMS notes. Participants will receive an incentive payment if they provide high quality care and reduce Medicare spending. Applications are due Feb. 6. More information on the demo is at www.cms.gov/DemoProjectsEvalRpts/downloads/IAH_FactSheet.pdf.
Home Health & Hospice Week
- Lawsuits:
Whistleblower Lawsuit Signals Hospice Enforcement Ramp-Up
Get ready to defend your hospice claims if you treat long-stay patients. If you had [...] - Prospective Payment System:
New HTN Payment Rules May Not Mean New Coding
A big shift in coding could prove CMS right that agencies were gaming. Now that [...] - Diagnosis Coding:
Avoid This Upcoding Trap With HTN Codes
You can capture case mix points with HTN codes in these circumstances. While the 401.1 [...] - HIPAA:
Pull Your HIPAA Act Together With These Pointers
It's time to move HIPAA off the back burner. With new HIPAA audits on the [...] - Industry Note:
Clock Restarts On Doc Fix -- And Possible Home Care Cuts
Two-month delay to 27% physician cut hammered out. After political theatrics from both sides of [...] - Fraud & Abuse:
CMS To Take Action On More Identified Fraud Vulnerabilities, OIG Report Indicates
HHA outliers one of the few fraud risks CMS did address from 2009. The Centers [...] - Industry Note:
MAC Resolves 5010 Billing Glitc
The Centers for Medicare & Medicaid Services wants home health agencies and hospices that have [...] - Industry Note:
Prepay Demos For Mobility Devices, RACs Delayed
Sometimes common sense does seem to prevail at the policy-making level. CMS has agreed to [...] - Industry Note:
Demo For Doc, NP Visits At Home Gets Green Light
Medicare beneficiaries will receive more care at home under a new demonstration, but the care [...] - Industry Note:
Know Which Revalidation Letter To Disregard
If you're still working your way through a backlog of mail you received over the [...] - Industry Note:
HHA, Hospice Reps Named To CMS Innovations Initiative
CMS will receive input from home care providers for its Innovations Center initiatives, which aim [...] - Industry Note:
Keep Patients' PHI Out Of E-Mails To MACs
Don't risk HIPAA violations when you're trying to get help with your Medicare claims. You [...] - Industry Note:
3 HHA Operators Plead Guilty To Kickbacks, Fraud
Three Miami HHA operators charged with Medicare fraud last year have pled guilty. Roberto and [...] - Industry Note:
State Regs Burden Inpatient Hospice Facilities
In addition to handing over its patients to another HHA, the Visiting Nurse & Hospice [...]
