Home Health & Hospice Week
MAC Now Requires F2F For All Episodes
Gear up for major battle over face-to-face physician encounter documentation — because your MAC is. HHH Medicare Administra-tive Contractor CGS has announced that July 8 it began to require F2F documentation for all claims it reviews, even when they are not claims for initial episodes.
"The Centers for Medicare & Medicaid Services (CMS) clarified the ‘face-to-face encount-er requirement is necessary for the initial certification, which is a condition of payment. Without a complete initial certification, there cannot be subsequent episodes,’" CGS says in its July newsletter for providers.
MACs CGS, Palmetto GBA, and NHIC all recently have announced a new focus on F2F requirements (see Eli’s HCW, Vol. XXII, No. 22).
CGS and National Government Services have posted new F2F educational resources on their websites.
Home Health & Hospice Week
- Prospective Payment System:
Rebasing To Strip Billions From Medicare HHA Spending
CMS to knock 3.5 percent off payment rates for next 4 years. It’s time to [...] - Proposed 2014 Per-Visit Amounts For LUPAs and Outliers
- Proposed 2014 Nonroutine Supplies (NRS) Categories and Payment Rates
- Payment:
LUPA Rates Go Up While Supplies Rates Decrease
LUPA add-on to get more complicated. Keep track of these tweaks to the home health [...] - Quality:
2 New Quality Measures Emphasize Rehospitalizations
You’ll need to monitor hospital-discharged patients more closely than ever. If you think Medicare already [...] - Reimbursement:
Say Goodbye To 170 Revenue-Generating Diagnosis Codes
Other PPS rule provisions include ICD-10 edits and OASIS changes. CMS is pruning the list [...] - Industry Note:
Providers Cheer Delay Of ACA Mandatory Insurance
Shared responsibility payments required in law put off even further. You’ve got a little breathing [...] - Industry Note:
Medicare Finalizes SNF-Hospice Written Agreement
Now you’re not the only one required to have a written agreement when you enter [...] - Industry Note:
MAC Now Requires F2F For All Episodes
Gear up for major battle over face-to-face physician encounter documentation — because your MAC is. [...] - Industry Note:
Keep Communication Open With CERT Contractor
Keep your medical review wires un-crossed by establishing a contact person specifically for Comprehensive Error [...] - Industry Note:
CMS Bumps MA HIPPS Requirement To December
You may get a break from your Medicare Advantage payers on Medicare’s requirement for MA [...] - Industry Note:
Learn About Your Discharge Requirements
Looking for a quick recap of what Medicare expects. of you regarding discharge? Check [...] - Industry Note:
Get Hospice Monthly Billing Details Right
Hospice monthly billing may not always be as straightforward as it seems. "Providers whose claims [...] - Industry Note:
Hospital, Senior Living Join Forces With Home Care
Home care joint ventures seem to be gaining in popularity. In Cincinnati, The Christ Hospital [...]
