Home Health & Hospice Week
Learn New Hospice Vaccine Billing Ins And Outs
Hospices can get their newly updated vaccine billing instructions in a recently reissued transmittal.
Reminder: Now that Oct. 1 has passed, hospices can bill for flu, pneumococcal, and hepatitis B vaccines under their hospice enrollment, using the institutional claim format, the Centers for Medicare & Medicaid Services says in MLN Matters article 9052. Previously, they had to obtain a supplier number and had to submit the services on a professional claim.
Tip: “Payment made through the [Medicare Physician Fee Schedule] is based on geographic locality,” notes the National Association for Home Care & Hospice in its member newsletter.
See the MLN Matters article at www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9052.pdf.
Home Health & Hospice Week
- Prospective Payment System:
VBP Neglects Major Home Care Focus, Agencies Tell CMS
Improvement emphasis is disservice. Lack of stabilization measure inclusion in Medicare’s Home Health Value-Based Purchasing [...] - Quality:
VBP Risk Adjustment Doesn't Compensate Enough
Add socio-demographic adjusters, commenters urged CMS. If Medicare doesn’t want a whole section of the [...] - Value-Based Purchasing:
Change In VBP Comparison Groups Meets Mostly With Favor
Small providers somewhat nervous about cohort revamp proposal. Home health agencies in the nine Value-Based [...] - Appeals:
VBP Appeals Expansion Appeals To HHAs, But Longer Timeframe Needed
Questions remain about appeals decisions’ impact on other agencies. Medicare plans to give home health [...] - Benchmarks:
Set VBP Benchmarks Ahead Of Time, MedPAC And Other Commenters Urge
Retroactive benchmarks curb quality improvement, critics say. Home health agencies in the nine Value-Based Purchasing [...] - Value-Based Purchasing:
Reduce VBP Risk Pool To Be In Line With Other Provider Types
Public reporting, population base blasted. Commenters on the 2017 Home Health Prospective Payment System rule [...] - Fraud & Abuse:
Hospice Execs Sentenced In Fraud Cases
Benchmark: National live discharge rate is 18%. Hospices with sky-high live discharge rates drive their [...] - Fraud & Abuse:
States Crack Down On Home Care Providers
One states sees 80% spending spike over 2 years. As Medicaid spending on home care [...] - Industry Note:
More PCR Education On Deck
Palmetto offers additional in-person training. Don’t expect that Pre-Claim Review “pause” button to stay pressed [...] - Industry Note:
Learn New Hospice Vaccine Billing Ins And Outs
Hospices can get their newly updated vaccine billing instructions in a recently reissued transmittal. Reminder: [...] - Industry Note:
Tampa HHA Owner Convicted Of Medicare Fraud
The owner of Gold Care Home Health Services Inc. in Tampa, Fla., has been convicted [...] - Industry Note:
Hospice Owner Admits To Physician Kickbacks
Hospice medical director relationships are once again in the fraud and abuse spotlight. Lemont, Ill.-based [...]
