Home Health & Hospice Week
Goodbye Cardiac & Hip Bundling Models, Hello BCPI Advanced
How will new bundling models affect you? To many providers' relief, the Centers for Medicare & Medicaid Services eliminated two bundling models for hip fracture and cardiac payments and scaled back the Comprehensive Care for Joint Replacement (CJR) Model last year. But now CMS has introduced a new bundling model, although it's voluntary this time. Under the Bundled Payments for Care Improvement Advanced model, "participants can earn additional payment if all expenditures for a beneficiary's episode of care are under a spending target that factors in quality," CMS explains in a release about the new initiative. "BPCI Advanced Participants may receive payments for performance on 32 different clinical episodes, such as major joint replacement of the lower extremity (inpatient) and percutaneous coronary intervention (inpatient or outpatient)," CMS says. While the model is aimed at hospitals and physician practices, it also includes "downstream entities," CMS notes on the BPCI Advanced website. The model that includes 90-day episodes covers 32 types of clinical categories including COPD, CHF, various types of joint replacements, and strokes. CMS is taking applications for the model until March 12. The program will run from Oct. 1, 2018 to Dec. 31, 2023. CMS is holding a question-and-answer Open Door Forum about the initiative on Jan. 30. Register for the forum at https://preaward.adobeconnect.com/e3cdwg6hgx9f/event/registration.html.
Home Health & Hospice Week
- Medical Review:
MACs Ramp Up Targeted Probe & Educate In New Year
Take these 5 steps to head off TPE disaster. Be sure you're ready as the [...] - Hospice:
Hospices Are On The TPE Hot Seat For These Topics
A second MAC reveals some of its TPE targets. While providers are still figuring out [...] - Conditions of Participation:
Forge Ahead With CoPs Despite Lack Of Final Interpretive Guidelines
Final IGs won't differ much from draft anyway, CMS source maintains. If you thought you'd [...] - Compliance:
Keep Your Texting In Compliance With Recently Clarified Medicare Guidance
Texting physician orders is never OK, CMS stresses. Unsecured texting may be one of the [...] - Reimbursement:
Electronic NOE Submission Problems Dog Hospices
One MAC is using a workaround to let NOEs process via EDI - but the [...] - Industry Note:
Goodbye Cardiac & Hip Bundling Models, Hello BCPI Advanced
How will new bundling models affect you? To many providers' relief, the Centers for Medicare [...] - Industry Note:
Fate Of Rural Add-On May Be Decided By Congress In Coming Days
Keep an eye on Congress to see whether the rural add-on remains eliminated. "We believe [...] - Industry Note:
Medicare Launches Next Phase Of Its 'Patients Over Paperwork' Initiative
Do you think the Centers for Medicare & Medicaid Services is living up to the [...] - Industry Note:
Don't Dally In Compiling Your Data If You Think You Exceeded The Hospice Cap Last Year
One HHH Medicare Administrative Contractor is still sending hospices their PS&R data for purposes of [...] - Industry Note:
New Year, New (Higher) Mileage Rate
Don't forget to adjust your travel reimbursement amount, if you tie it to the Internal [...] - Industry Note:
HHS Extends Health Emergency Periods In These Areas
Recovery from Hurricane Maria has prompted the Department of Health and Human Services to push [...]
