Home Health & Hospice Week
Monitor Your RAPs
With HHH Medicare Administrative Contractor Palmetto GBA setting RAPs to pay nothing if you have too many auto-cancels, smart agencies will take preventive action. The National Association for Home Care & Hospice "recommends that home health agencies monitor their outstanding [Request for Anticipated Payment]," the trade group says in its member newsletter. "If they believe they will be unable to submit the final claim before the 120 days, they should cancel those RAPs before they are auto-cancelled."
Palmetto won’t pay RAPs for agencies that had 100 or more auto-cancels in the first quarter (see Eli’s HCW, Vol. XXII, No. 15). The MAC is considering adjustments — including for agency size — to its threshold for suppressing RAP payments based on auto-cancels, NAHC reports.
Home Health & Hospice Week
- Hospice:
Hospice Payment Rates To Tick Up 1% Next Year
CMS may cut how much you get paid for Routine Home Care. BNAF and Affordable [...] - Quality:
Get Ready To Collect These Hospice Data Items
Will ‘HIS’ data set become hospices’ OASIS? The Centers for Medicare & Medicaid Services wants [...] - Diagnosis Coding:
CMS To Ban Debility, Failure To Thrive As Primary Diagnoses On Hospice Claims
Most hospices still aren’t reporting secondary diagnoses, CMS fumes. If you thought CMS was cracking [...] - Strategy:
Use This Tool To Problem-Solve In Your Agency
Consider a ‘learning circle’ to crack tough issues. Whether you need your staff to brainstorm [...] - Tool:
Maximize 'Learning Circle' Potential With These Questions
Tip: Mix specific and open-ended questions. In addition to questions on specific clinical and policy [...] - Medical Re view:
CERT Reviewers Deny Claims Based On F2F
Would your face-to-face documentation pass medical review muster? Have you been letting docs slide on [...] - Industry Note:
Medicare Ramps Up Readmission Penalties
Plus: CMS adds two new DRGs to readmission penalty list. Hospitals soon will have even [...] - Industry Note:
E-Mail Causes Hospice HIPAA Violation
Make sure your staff are thoroughly trained — and reinforced — about HIPAA-compliant e-mail procedures. [...] - Industry Note:
Monitor Your RAPs
With HHH Medicare Administrative Contractor Palmetto GBA setting RAPs to pay nothing if you have [...] - Industry Note:
Trade Groups Merge
The National Association of Indepen-dent Medical Equipment Suppliers will merge with the American Association for [...] - Industry Note:
Counter Physician Signature Problems With Log
Are you having trouble with ordering physicians signing documentation differently at different times? Counter that [...] - Industry Note:
HHA Office Worker Pleads Guilty In Detroit
A home health office worker has pled guilty to Medicare fraud in the $24 million [...] - Industry Note:
Agency Closes In Face Of Medicaid Investigation
Deaconess Home Health in Milwaukee has closed in the face of a Medicaid investigation, leaving [...] - Industry Note:
Kindred Makes Texas Buy
Long-term care giant Kindred Health-care Inc. is aiming to increase its presence in the wider [...] - Industry Note:
San Diego Hospice Facility Goes To Highest Bidder
San Diego Hospice’s inpatient facility has gone to the highest bidder. After 50 bids in [...]
