Home Health & Hospice Week
MAC Launches Medical Review Targeted At 2 Nutrition-Related Hospice Groups
Be sure your claims for hospice patients with two nutrition conditions are up to snuff, be-cause one Medicare Administrative Contractor is taking a closer look at them.
“Our Medical Review Department will be initiating a widespread prepayment review of claims for increased use of diagnosis group 262 and 263,” HHH MAC National Government Services says in a recent message to providers. DX group 262 is “Other severe protein-calorie malnutrition” and DX group 263 is “Other and unspecified protein-calorie malnutrition.”
The records supporting the claims must support a six-month prognosis, NGS notes. Docu-mentation must include a notice of election/signed election statement by the beneficiary; recertification evaluation(s); initial and all subsequent physician’s certifications; nurses notes, initial assessment and if applicable, complete general inpatient medical records; physician progress notes and orders; all other caregiver notes, including interdisciplinary group notes; and documentation to support the face to face encounter, NGS reminds hospice providers.
Home Health & Hospice Week
- Face-To-Face:
Prepare For More Resentment From Docs For New F2F Rules
Ring in the New Year with more documentation requests for referring physicians. While home health [...] - Documentation:
Will A Simple Signature And Date Suffice For F2F Documentation?
Agencies seek answers as the new F2F implementation date nears. With Jan. 1 right around [...] - Regulations:
Use These 8 Tips To Ramp Up For F2F Change In The New Year
Work on your physician relationships ASAP. Face-to-face physician encounter requirements often torpedo claims, but you [...] - Education:
Check Out These Offerings To Stock Your Doc Training Toolbox
Only one CMS educational event is updated with the new requirements. Home care providers may [...] - Medical Review:
CMS Runs Down Its Checklist For Home Care Eligibility
Physicians’ records need this documentation. Not sure what medical reviewers will be looking for when [...] - Industry Notes:
Study Debunks Nursing Home/Home Dichotomy For Hospice
‘Crossover’ patients see longest stays, highest costs, study finds. Nursing home residents receiving hospice services [...] - Industry Note:
Double-Check Your Wage Index For 2015 PPS Payment Rates With This New CR
You can check to see whether your home health PPS wage index figures for 2015 [...] - Industry Note:
Mind Sequencing For NOTR Submission Success
You’ll have a hard time making your Notice of Termination/Revocation filing deadline if you lag [...] - Industry Note:
MAC Launches Medical Review Targeted At 2 Nutrition-Related Hospice Groups
Be sure your claims for hospice patients with two nutrition conditions are up to snuff, [...] - Industry Note:
Multi-State Chain Grows On West Coast
The Ensign Group has expanded its presence in Southern California. The Mission Viejo, Calif.-based post-acute [...] - Industry Note:
Jury Slaps Boston-Area HHA Owner With Guilty Verdict For Medicare Fraud
A jury has convicted At Home VNA owner Michael Galatis on multiple counts of fraud [...]
