Home Health & Hospice Week
Home Care Providers Hit By ADRs From All Sides
If the blizzard of ADRs hitting the home care industry is confusing you, you aren’t alone.
Some Additional Development Requests include requests for the HHH Medicare Admini-strative Contractor "mixed in with ADRs for the Recovery Audit Contractor (RAC), the Zone Pro-gram Integrity Contractor (ZPIC), and/or the Comp-rehensive Error Rate Testing (CERT) contractor," points out MAC Palmetto GBA on its website. "Please review your … ADRs very closely. They can be confusing!"
Don’t face additional payment delays or denials because of paperwork mix-ups. "Please make sure you esMD, fax or mail your records to the correct contractor," Palmetto urges.
Reminder: "You cannot send ADR re-sponses to the RAC, ZPIC or CERT via the electron-ic submission of Medical Documentation (esMD) process," the MAC adds. "esMD only applies to requests that are solely responding to Palmetto GBA requests."
Home Health & Hospice Week
- Regulations:
Diagnosis Coding Items Head Up OASIS-C1 Changes
Number of M items collected to drop slightly in next OASIS incarnation. Now that you’ve [...] - Assessment:
Say Goodbye To These 8 OASIS Items Under OASIS-C1
Five items will go away altogether while 3 will stay for only certain timepoints, CMS [...] - OASIS:
Correct 3 Mistakes for a Flawless OASIS Review Process
Employ just one tip to save time and money An effective OASIS review process can [...] - Therapy:
Surprise: RACs Perform Manual Medical Reviews For Therapy Claims Over $3,700
Experts concerned that RACs get paid extra for every claim they deny Home health agencies [...] - Industry Note:
Watchdog Agency Targets Duplicative Vaccinations
Tip: Do your due diligence on whether patients have received a pneumococcal vaccination. A home [...] - Industry Note:
Medicare Still Trying To Get Outlier Payments Right
It’s time to keep track of more outlier payments. A HHH Medicare Administrator Con-tractor is [...] - Industry Note:
HHA Faces Survey Complaint Over End Of Life Care
Be sure your communication with both referring physicians and patients is strong, or you may [...] - Industry Note:
Struggling Nonprofit Hospice Prioritizes Marketing
Dwindling reimbursement and in-creased competition are causing a former hospice mainstay in Midlands, Texas to [...] - Industry Note:
Home Care Providers Hit By ADRs From All Sides
If the blizzard of ADRs hitting the home care industry is confusing you, you aren’t [...] - Industry Note:
Solve Overlap Problems With New Billing Guides
Help avoid denials for claims that overlap with other providers’ claims by using some new [...] - Industry Note:
LTC Chain Buys HHAs On Opposite Sides Of U.S.
Long-term care giant Kindred Health-care Inc. plans to buy the assets of Arrowhead Home Health [...] - Industry Note:
Quaker Charity To Close HHA's Doors
Mercer Street Friends Home Health Care in Trenton, N.J. plans to turn over its 2,000 [...] - Industry Note:
Whistleblower Suit Settlement Dogs Hospice
The hospice that settled a whistleblower lawsuit filed by a competitor is back in court [...]
