Home Health & Hospice Week
Monetary Threshold For ALJ Hearing Stays Steady
Good news: The threshold that will allow you to bring an appeal before an Administrative Law Judge will stay the same in 2019. “The amount that must remain in controversy for Administrative Law Judge (ALJ) hearing requests filed on or before December 31, 2018 is $160,” HHH Medicare Administrative Contractor Palmetto GBA says on its website. “This amount will remain at $160 for ALJ hearing requests filed on or after January 1, 2019.” However, the same isn’t true for the AIC level for federal court appeals. “The amount that must remain in controversy for reviews in Federal District Court requested on or before December 31, 2018 is $1,600,” Palmetto says. “This amount will increase to $1,630 for appeals to Federal District Court filed on or after January 1, 2019.”
Home Health & Hospice Week
- Medical Review:
Nearly All HHAs Flunked TPE Review In Latest Round
Medicare needs to examine its requirements, experts charge. The latest results from the Targeted Probe [...] - Reimbursement:
Take These Steps To Combat TPE
Don’t forget about appeals. Home health agencies affected by Targeted Probe and Educate review, or [...] - Medical Review:
TPE Performance Is Going The Wrong Way
More HHAs wind up in ‘significant’ error category in latest results. When Medicare launched its [...] - Documentation:
Face-To-Face Tops Latest TPE Denial List
Good news: One of the most common denial reasons will go away in the new [...] - Fraud & Abuse:
Fraud Enforcement Focuses On Medicaid
Charges include fake time sheets. Twelve people, including two sisters who are home health agency [...] - Compliance:
Beware These Gift-Giving Taboos At Holiday Time
Remember, Medicare is a whole different world when it comes to gifting to your associates. [...] - Industry Note:
Check Out Your New Hospice Compare Measure
Attend upcoming webinar for more info. Hospices’ scores for the newest Hospice Compare measure are [...] - Industry Note:
Review Choice Demo Continues To Loom On Horizon
Illinois agencies are waiting on pins and needles to see when the Review Choice Demonstration [...] - Industry Note:
Watch Out For This Glitch Suspending HH Claims
You might not get the result from your claim adjustment that you were hoping for, [...] - Industry Note:
Monetary Threshold For ALJ Hearing Stays Steady
Good news: The threshold that will allow you to bring an appeal before an Administrative [...] - Industry Note:
Heads Up: Overlappping Claims Rejections May Be Errors
Beware a new payment glitch hitting hospice claims. “Hospice claims are incorrectly rejecting with reason [...]
