Home Health & Hospice Week
Note This Payment Reduction Appeal Change
Get ready for no more paper reconsideration requests. If you think you’re going to be docked 2 percent in error for failing to meet quality reporting requirements, you’ll have only one avenue for relief. So says a recent Medicare transmittal. Background: The Deficit Reduction Act of 2005 added a pay-for-reporting requirement for Medicare home health, effective Jan. 1, 2007. For payments in calendar years 2007 through 2011, this requirement was limited to the reporting of OASIS data. For 2012 and after, the requirement also includes submission of HH CAHPS data, the Centers for Medicare & Medicaid Services notes in Change Request 10874 implemented Sept. 11. If you don’t meet submission standards, your Medicare payments are reduced by 2 percent. “If you believe you have been in compliance with the quality data reporting requirement and have been identified for this payment reduction in error, you must submit a letter requesting reconsideration and provide documentation demonstrating your compliance,” CMS says. New: Now, such reconsideration requests and supporting documentation “must be received electronically,” CMS says in the CR issued Aug. 10. Instructions on submitting requests, CAHPS information and deadlines are in the transmittal at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R78QRI.pdf.
Home Health & Hospice Week
- Survey & Certification:
Beware Aide Competency Testing Under Final IGs
Medicare tweaked testing IGs — but not enough. The final Interpretive Guidelines for the Home [...] - Compliance:
Look To These 2 Bright Spots In Final IGs
Aides’ med administration, verbal order clarifications welcome. While there is a lot to be worried [...] - Regulations:
Unchanged IG Sections Pose Major Compliance Risks
Agencies’ have their work cut out for them in avoiding survey deficiencies. Some Interpretive Guideline [...] - Hospice:
CMS Changes The Channel For Future Hospice Compare Additions
Medicare will no longer run new public display of measures through rulemaking. When it comes [...] - Payment:
Post Acute PPS Isn't Going Away
How do readmission payment penalties for HHAs sound? The Medicare Payment Advisory Commission continues to [...] - Industry Note:
Note This Payment Reduction Appeal Change
Get ready for no more paper reconsideration requests. If you think you’re going to be [...] - Industry Note:
Revised OT, PT LCDs Contain This Significant Change
If you’re used to using certain codes for myalgia and post-op infection to justify your [...] - Industry Note:
Make This Oct. 5 Deadline
Now’s your chance to look at your performance on the new Hospice and Palliative Care [...] - Industry Note:
MAC To School Docs On Home Health Duties
If you’re trying to get your referring physicians to toe the line for face-to-face documentation [...] - Industry Note:
Get Your HQRP Bearings With New Education From CMS
You can learn more about the Hospice Quality Reporting Program by using newly posted materials [...] - Industry Note:
Bay Area HHA Owner, Marketer Indicted On Kickback Charges — Plus Physician
A California home health agency marketer and referring physician have been indicted on Medicare fraud [...] - Industry Note:
Medicare Indicates Enthusiasm For Next-Gen ACOs And Their Cost Savings
Don’t be surprised to see Medicare move more strongly toward Accountable Care Organizations. A new [...] - Industry Note:
Guard Your PECOS Data Like You Would Your PHI
HIPAA requires that providers safeguard their patients’ protected health information (PHI), but Medicare wants to [...]
