Home Health & Hospice Week
Double-Check Your HIPPS Codes Under ICD-10
The Centers for Medicare & Medicaid
Services has issued the official billing instructions based on the 2016 HH PPS final rule in a new CR at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R3383CP.pdf. The accompanying MLN Matters article is at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9406.pdf.
Regarding new seventh character grouper codes: “HHAs should review their OASIS records and claims submitted between October 1, 2015 and December 31, 2015, to determine if they should submit a modification of their assessment and adjust their claim with a revised HIPPS code that was assigned to the OASIS record based upon the revised grouper logic,” CMS instructs (see related story, p. 322).
Home Health & Hospice Week
- Regulations:
VBP Agencies Should Take Action Now, CMS Instructs
Mark your calendars for upcoming HHVBP education session. Home health agencies in the nine Value-Based [...] - Reimbursement:
Unlike ICD-10, You Can Use Old And New G-Codes On Same Claim
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Polish Your Hospice Item Set Skills With New CMS Tools
Service Intensity Add-on billing, CAHPS also addressed in forum. Make sure your Hospice Item Set [...] - Fraud & Abuse:
Feds Round Up Fraudsters In Lone Star State
Kickbacks, patient recruiters feature heavily in indictments. If you’re wondering why the moratorium on new [...] - Fraud & Abuse:
Docs Don't Escape Penalties In Home Care Fraud Cases
Sham consulting arrangement leads to one physician’s guilty plea. A group of guilty pleas resulting [...] - Mergers & Acquisitions:
Hospices Combat Declining Reimbursement With Consolidation
‘Scale matters,’ says one market expert. Hospices are working hard to survive and thrive in [...] - Industry Note:
Joint Replacement Bundling Coming To 67 Cities
Providers get an extra 3 months to prepare for the hospital-driven payment model. You may [...] - Industry Note:
Double-Check Your HIPPS Codes Under ICD-10
The Centers for Medicare & Medicaid Services has issued the official billing instructions based on [...] - Hospice:
Are You Doing These 3 Things When Inventorying Your BAs?
Don’t skip a step. Question: We are reviewing all our business associates (BAs) and associated [...] - Industry Note:
OIG Work Plan Goes Relatively Easy On Home Care
Home health and hospice providers have a smaller than usual role in the HHS Office [...] - Industry Note:
Beware HIPPS Recoding Claims System Glitch
Stand by for the solution to another claims system glitch. “CGS is aware of an [...] - Industry Note:
CMS Ups Deductibles
Home health agencies and hospices have managed to avoid a copayment thus far, but most [...] - Industry Note:
Denial Codes Get Detailed
You may soon be able to get more information about your denied claims. “The Centers [...] - Industry Note:
LEIE List Format Changes
Say goodbye to the current format for checking the OIG’s List of Excluded Individuals and [...] - Industry Note:
Senior Services Nonprofit Buys New Mexico HHA Chain
The Evangelical Lutheran Good Samaritan Society based in Sioux Falls, S.D. has purchased Albuquerque, N.M.-based [...]
