Home Health & Hospice Week
MAC Pauses TPE Edit To Target More Carefully
Hospices served by one HHH Medicare Administrative Contractor are getting a break from some TPE review — but not for long. “Palmetto GBA announces the refinement of the Routine Home Care Targeted Probe and Educate (TPE) edit for hospice,” it says. The MAC will suspend claim selection for the edit while it’s undergoing revision. The refinement aims to “focus the specificity of the editing and claim selection to place of service where the Routine Home Care is being given as defined by [HHS Office of Inspector General] reports and internal data analytics,” Palmetto says. Do this: “Providers who have pending ADRs should respond with documentation to support the adjudication of the current suspended claims. Providers will be given credit for the reviews prior to the refinement of the edit when Palmetto GBA resumes the claim selection for this TPE action,” the MAC says. But Palmetto tentatively plans to resume the edit on Feb. 13 and plans to publish in its “Active Edits” article the places of service targeted with this edit.
Home Health & Hospice Week
- PDGM:
How Does Primary Diagnosis Affect OASIS Referral Date Under PDGM?
A new OASIS Q&A tries to tackle that issue, but questions remain. The importance of [...] - OASIS:
Look For iQIES Workarounds Here
Open issues outnumber resolved ones so far. Home health agencies frustrated by being in the [...] - Emergency Preparedness:
Don't Overlook These Time-Saving Emergency Preparedness Changes
You can scale back testing, review time frames. Are you making the most of Emergency [...] - Compliance:
Use Loosened EP Requirements Wisely
Update whenever you experience an emergency event, no matter what the regs say. While a [...] - Quality:
Prepare For Major Compare Website Revamp
CMS needs to fix Compare problems, despite the format, reps say. How potential referral sources [...] - Industry Note:
HHVBP Saves Medicare Money
But it also increases ER use. If you are wondering whether Medicare will take Home [...] - Industry Note:
MAC Fixes Glitch
If some of your claims are being adjusted but have maintained the same payment rate, [...] - Industry Note:
Do Your Homework When MBIs Reject
Do you have a claim rejecting due to an incorrect MBI? Then you need to [...] - Industry Note:
Your RCD Results Are Now At Your Fingertips
Home health agencies under the Review Choice Demonstration now have a new tool to help [...] - Industry Note:
Review Upcoming SPADE Requirements In New Web Education Sessions
You can learn about upcoming changes to Post-Acute Care Quality Reporting Programs, including the QRP [...] - Industry Note:
MAC Pauses TPE Edit To Target More Carefully
Hospices served by one HHH Medicare Administrative Contractor are getting a break from some TPE [...] - Industry Note:
New Medicare Fact Sheet Educates On Reporting Hospice Abuse, Neglect
Reports of abuse and neglect of hospice patients may increase following Medicare’s issuance of a [...] - Industry Note:
Mega-Merger Off For 2 HH Companies
Aveanna Healthcare’s acquisition of Maxim Healthcare Services’ home health division is off, thanks to a [...]
