Home Health & Hospice Week
GAO Pushes For More Prior Authorization
Don’t count on Medicare seeing the error of its ways when it comes to preauthorization such as the Review Choice Demonstration. The Centers for Medicare & Medicaid Services is getting plenty of pressure from the outside to continue and even expand such programs. For example: In a new report on “priority open recommendations,” the Government Accountability Office urges CMS to “take steps, based on results from evaluations, to continue prior authorization. These steps could include: (1) resuming the paused home health services demonstration; (2) extending current demonstrations; or, (3) identifying new opportunities for expanding prior authorization to additional items and services with high unnecessary utilization and high improper payment rates. The 35-page GAO report is at www.gao.gov/assets/700/698322.pdf.
Home Health & Hospice Week
- Review Choice Demonstration:
HHAs In RCD Demo States Should Start Prep Yesterday
Don’t discount PDGM’s exacerbation of the pre-claim review program’s impact. Illinois home health agencies are [...] - Targeted Probe & Educate:
MAC: Like It Or Not, You're On The Hook For Physicians' Documentation
Tip: Make sure claim is supported before you submit it. You may not be able [...] - Survey & Certification:
Make Sure Your Administrator Reports Directly To Gov. Body
Keep working on compliance with new CoPs. You could risk a survey deficiency if you [...] - Conditions of Participation:
Know The CoPs Ruling Your Administrator Duties
Medicare surveyors cited hundreds of agencies on administrator CoP since new requirements took effect. Be [...] - Mergers & Acquisitions:
Publicly Traded Chain Buys 50-Year-Old Provider
Plus: Check out the latest deals from coast to coast. Acquisition of a longstanding agency [...] - Industry Note:
Check Your RAP Stats With This Report From Medicare
Get familiar with Comparative Billing Reports. You can find out if your Request for Anticipated [...] - Industry Note:
OIG Investigated Scores Of Hospices Last Year
Hospice oversight continues to ramp up, and a recent HHS Office of Inspector General report [...] - Finance:
Do You Know These New Cost Report Requirements?
If not, you could be risking payment suspension. You’ll soon receive a cost report reminder [...] - Industry Note:
MBI Usage Rises Again
Providers submitting Medicare claims are closing in on the three-fourths mark for using MBIs. For [...] - Industry Note:
Choose Who Signs Up For eServices Carefully
Illinois home health agencies getting ready to go under the Review Choice Demonstration need to [...] - Industry Note:
CMS Adds Podcast Ep
You can check out the latest episode of the podcast from the Centers for Medicare [...] - Industry Note:
Download Your New Hospice PEPPER
The newest hospice PEPPER report is now available. The free benchmarking report from Medicare covers the [...] - Industry Note:
GAO Pushes For More Prior Authorization
Don’t count on Medicare seeing the error of its ways when it comes to preauthorization [...] - Industry Note:
HH DON Fraudster Gets 10 Years In Prison
A federal judge has handed down another relatively stiff prison sentence related to a Houston [...]
