Home Health & Hospice Week
Hit ADR Deadlines Or Throw Away Cash
Don't be late in responding to additional development requests, or you could be very sorry. That's the message from HHH Medicare Administrative Contractor CGS, which reminds providers that they have 30 days to submit their ADR responses. "If documentation is not mailed within the 30-day request, it may begin to auto-deny unnecessarily," the MAC warns on its website. This is a pertinent issue for hospices, who have been on the receiving end of multiple widespread edits lately. CGS lists six hospice widespread edits on its website at www.cgsmedicare.com/hhh/medreview/med_review_edits.html, compared to just two edit topics for home health agencies. The edit generating the most ADRs is 5101T, which selects claims with a length of stay greater than 180 days and a primary diagnosis of 331.0 (Alzheimer's disease), 799.3 (debility), or 496 (COPD). CGS has sent out more than 3,920 ADRs for it, according to information CGS supplied to the National Association for Home Care & Hospice. Resource: For information on CGS edits of long-stay hospice patients and tips for documenting terminal illness for patients with slow-declining diagnoses, see Eli's HCW, Vol. XXI, No. 19.
Home Health & Hospice Week
- Hospice:
Quality Reporting Burdens May Sink Small Hospices
Hospice providers give CMS an earful on quality reporting proposals.Hospices are hoping to see a [...] - Quality:
Hospices Protest 'Comfortable Dying' Details
Some patients should be excluded from this new quality reporting measure, providers tell CMS.You should [...] - Strategy:
Challenges Bring Opportunity For Home Care
Now's the time to advocate for your industry.For home care providers, it's an increasingly difficult [...] - Coverage:
Lawsuit Settlement May Swell Your Patient Rolls
Agreement in class action suit should torpedo improvement criteria.Get ready to do away with the [...] - Industry Note:
Background Checks May Cut Aide Misdeeds Up To 20%
Many nursing home aides with findings of neglect, abuse, or theft have previous criminal history, [...] - Industry Note:
Hit ADR Deadlines Or Throw Away Cash
Don't be late in responding to additional development requests, or you could be very sorry.That's [...] - Industry Note:
MAC Targets Claims With 5-7 Visits
Make sure your documentation for episodes that barely exceed the LUPA threshold will stand up [...] - Industry Note:
Watch Out For New Claims Requirement
You'd better be sure your beneficiaries' names and HICN numbers match what's in the Com-mon [...] - Industry Note:
Lawmakers Look For 'Doc Fix' Funds
Hold onto your wallets -- Congress expects to approve a potentially reimbursement-draining "doc fix" before the [...] - Industry Note:
Home Care Aides Aging With Their Clients
You may worry about the aging of your aide workers, but that's just how your [...] - Industry Note:
Hospital Sells Hospice Unit In Georgia
Hutcheson Medical Center in Fort Oglethorpe, Ga., will sell its hospice unit, Hutche-son Hospice, to [...] - Industry Note:
Home Care Fraudster Earns Decade Jail Term
A Miami HHA owner has received a 10-year prison sentence after pleading guilty to Medicare [...] - Industry Note:
Man Pleads Guilty To Medicaid Fraud In MN
A Minneapolis-area man has pled guilty to half a million dollars in Medicaid fraud. Through [...] - Industry Note:
U.S. Attorney Drops Kickback Charge In TN
The U.S. Attorney's Office in Nashville has dropped its temporary restraining order against Friendship Home [...]
