Home Health & Hospice Week
Joint Replacement Bundling Coming To 67 Cities
Providers get an extra 3 months to prepare for the hospital-driven payment model.
You may have to make some big changes to how you work with hospitals if you want to keep your stream of joint replacement patient referrals.
The Centers for Medicare & Medicaid Services has finalized its Comprehensive Care for Joint Replacement (CJR) model. The new program will take effect in 67 metro areas starting April 1, CMS says in a release about the final rule.
Change: That’s three months later than CMS offered in its proposed rule. And the number of MSAs is down from 75.
The program will penalize or reward hospitals based on the cost of the patient’s care for the 90-day period beginning with the procedure, CMS explains. Home health agency payments will not be directly affected for these patients. However, hospital practices and referral patterns for the patients are expected to be heavily influenced by the model. More information is at https://innovation.cms.gov/initiatives/cjr.
Home Health & Hospice Week
- Regulations:
VBP Agencies Should Take Action Now, CMS Instructs
Mark your calendars for upcoming HHVBP education session. Home health agencies in the nine Value-Based [...] - Reimbursement:
Unlike ICD-10, You Can Use Old And New G-Codes On Same Claim
Seventh characters, star ratings also addressed in Open Door Forum. Episodes that could have claims [...] - Hospice:
Polish Your Hospice Item Set Skills With New CMS Tools
Service Intensity Add-on billing, CAHPS also addressed in forum. Make sure your Hospice Item Set [...] - Fraud & Abuse:
Feds Round Up Fraudsters In Lone Star State
Kickbacks, patient recruiters feature heavily in indictments. If you’re wondering why the moratorium on new [...] - Fraud & Abuse:
Docs Don't Escape Penalties In Home Care Fraud Cases
Sham consulting arrangement leads to one physician’s guilty plea. A group of guilty pleas resulting [...] - Mergers & Acquisitions:
Hospices Combat Declining Reimbursement With Consolidation
‘Scale matters,’ says one market expert. Hospices are working hard to survive and thrive in [...] - Industry Note:
Joint Replacement Bundling Coming To 67 Cities
Providers get an extra 3 months to prepare for the hospital-driven payment model. You may [...] - Industry Note:
Double-Check Your HIPPS Codes Under ICD-10
The Centers for Medicare & Medicaid Services has issued the official billing instructions based on [...] - Hospice:
Are You Doing These 3 Things When Inventorying Your BAs?
Don’t skip a step. Question: We are reviewing all our business associates (BAs) and associated [...] - Industry Note:
OIG Work Plan Goes Relatively Easy On Home Care
Home health and hospice providers have a smaller than usual role in the HHS Office [...] - Industry Note:
Beware HIPPS Recoding Claims System Glitch
Stand by for the solution to another claims system glitch. “CGS is aware of an [...] - Industry Note:
CMS Ups Deductibles
Home health agencies and hospices have managed to avoid a copayment thus far, but most [...] - Industry Note:
Denial Codes Get Detailed
You may soon be able to get more information about your denied claims. “The Centers [...] - Industry Note:
LEIE List Format Changes
Say goodbye to the current format for checking the OIG’s List of Excluded Individuals and [...] - Industry Note:
Senior Services Nonprofit Buys New Mexico HHA Chain
The Evangelical Lutheran Good Samaritan Society based in Sioux Falls, S.D. has purchased Albuquerque, N.M.-based [...]
