Home Health & Hospice Week
MAC Launches Hospice RHC Probe In All Settings
One MAC is turning up the heat on hospice claims. HHH Medicare Administrative Contractor Palmetto GBA has announced a probe audit of hospice claims with Routine Home Care services. It doesn’t matter whether the services are furnished at home, in an ALF, nursing home, or SNF —they will trigger the audit. “This probe is based on data analysis which included identified CERT errors, internal analysis and prioritization, as well as past experience, which identified Routine Home Care Hospice Services as a major risk,” Palmetto says. “Probe edits will be set and will select a sample of 100 claims from each edit.” Among the many items Palmetto lists as required in responding to an ADR for this probe is “for dates of service that include the third benefit period or later … the face to face encounter document.” If reviewers find “significant billing aberrancies,” provider-specific medical review and/or one-on-one education may follow, Palmetto warns.
Home Health & Hospice Week
- Pre-Claim Review:
Pre-Claim Review Pauses For Serious Revamp
P-A-U-S-E spells relief. At long last, home health agencies are seeing the assistance they hoped [...] - Medical Review:
How Voluntary Will A Voluntary PCR Program Really Be?
Avoid putting a target on your back, industry rep warns. Choosing whether to participate in [...] - Pre-Claim Review:
Keep Putting Your UTNs On Claims, Q&A Says
Otherwise claims will process as normal. Home health agencies left with questions after the halt [...] - Conditions of Participation:
HHAs Get 6-Month Breather on HH CoPs
Watch out for transition period mistakes. The implementation date for the new and revised Home [...] - Compliance:
Keep Current Conditions Of Participation In Mind
Navigate tricky transition period or face penalties. In addition to just planning for Home Health [...] - Surveys & Certification:
Doubled CMP Amounts Make Your Timely CoP Compliance Critical
Survey citations can shut your doors in a heartbeat. Whether it’s compliance with the current [...] - Industry Note:
Head Off PECOS Edit Denials With These 3 Steps
Don’t forget to check the doc’s specialty code. If you’re accessing only the “Order and [...] - Industry Note:
MAC Launches Hospice RHC Probe In All Settings
One MAC is turning up the heat on hospice claims. HHH Medicare Administrative Contractor Palmetto [...] - Industry Note:
NGS Shares Notice Of Election Education Tool
Election notices are a hot topic for scrutiny, and hospices served by HHH Medicare Administrative [...] - Industry Note:
Note This New Form For Kickback Self-Disclosures
Medicare has issued a new form you need to use starting June 1 in physician [...] - Industry Note:
Learn About Your Recovery Audit Contractor
Get some insight into what your new home care and hospice-specific Recovery Audit Contractor is [...] - Industry Note:
LHC, West Virginia Hospital Partner
LHC Group Inc. has entered into a home health and hospice joint venture with Pleasant [...] - Industry Note:
Florida Opening Marks VITAS' 45th Location
VITAS Healthcare’s new office in Pensacola, Fla., is its forty-fifth location, the Pensacola News Journal [...]
