Home Health & Hospice Week
HHH MAC Ramps Up Medical Review
Medicare contractor may ask to look at 40 claims in initial probe. You're not alone if you feel like you're getting bombarded with additional development re-quests from your home health and hospice Medicare Administrative Contractor. "We have been hit hard with them," one Illinois HHA representative said in a recent Ask the Contractor Teleconference (ACT) for HHH MAC Palmetto GBA. "Is there a cap in terms of the number of claims selected in an initial probe?" asked another agency in the teleconference. "I am just wondering how many more we should be expecting." Palmetto "is conducting probe reviews on both home health and hospice services," the MAC said, according to its transcript of the ACT. "These reviews are in an effort to prevent inappropriate payments," it added. If you're on the ADR list, you may not be out of the woods yet. "Typically a service-specific probe sample is 100 and a provider-specific probe sample is 20 to 40," Palmetto explained. Plus: The Comprehensive Error Rate Test-ing (CERT) project "is currently sampling five per code, for hospice it is 25 claims and for home health it is 35 claims," Palmetto added. "Every effort will be made to move providers through the process as quickly as possible," Palmetto promised in the ACT.
Home Health & Hospice Week
- Reimbursement:
Copay Threat Grows Stronger, Thanks To MedPAC
HHA profit margin hits 19.4 percent, but steep drop predicted. The home care industry succeeded [...] - Hospice:
Change Your Hospice Discharge Coding This Summer
Revise one discharge code and learn another. Law- and policy-makers are determined to get to [...] - Know Your Facts:
HHA Stats Climb Higher Than 1990s Peaks
Medicare program had 11,600 agencies in latest data calculations. Record numbers of home health agencies, [...] - Therapy:
Watch Out For Stealth Home Care Episodes When Furnishing Part B Outpatient Therapy
The shoe may be on the other foot when you're the one furnishing Part B [...] - Industry Note:
HHH MAC Ramps Up Medical Review
Medicare contractor may ask to look at 40 claims in initial probe. You're not alone [...] - Industry Note:
New CMS Education Takes Aim At Docs Withholding Documentation
Having trouble getting your referring physicians to cough up medical documentation requested by Medicare contractors [...] - Industry Note:
MAC Sets 5010 Deadline
If you've been stalling on 5010 compliance, now's the time to get going on the [...] - Industry Note:
CMS Puts CHOW Changes In PI Manual
Medicare's revisions to change in ownership (CHOW) rules have officially hit the books. "Change in [...] - Industry Note:
Medicare Instructs Docs To Obtain NPIs
Physicians who are balking at obtaining a National Provider Identifier number are getting a talking-to [...] - Industry Note:
Keep These Safety Goals In Mind In 2012
Preventing falls is one of the measures stressed in this year's National Patient Safety Goals [...] - Industry Note:
Chain Pays Nearly $10M For 16 Nursefinders Locations
Moorestown, N.J.-based chain BAYADA Home Health Care has acquired 16 Nurse-finders Home Care offices from [...] - Industry Note:
Hospice Company Expands To 3rd State With SC Buy
Knoxville, Tenn.-based Caris Health-care has purchased Solaris Hospice with eight locations in South Carolina, Caris [...] - Industry Note:
HHA Owner, Employee Plead Guilty To Kickback Charges
A Miami home health agency owner and employee charged with Medicare fraud last fall have [...]
