Home Health & Hospice Week
Palmetto to Review HH PPS Grouper
Get ready for Palmetto GBA to review your home health claims, specifically claims with dates of service from Oct. 1, 2011 through Dec. 31, 2012. Palmetto will look into V3210 and V3312 of the Home Health Prospective Payment System Grouper, which did not award points for basal and squamous cell carcinoma for home health services.
Palmetto is focusing on these claims because CMS added basal, squamous and unspecified malignant cancers in V3413, retroactive to Oct. 1, 2011. Now CMS wants to award points for the entire 173 code category back to this date.
Action point: You may want to review any claims with dates of service submitted from Oct. 1, 2011 through Dec. 31, 2012 "to make a business decision as to whether or not to adjust the claim based upon a different Health Insurance Prospective Payment System (HIPPS) score determination made by V3413 of the HH PPS Grouper," Palmetto advises.
Home Health & Hospice Week
- HHAs:
Background Checks: Is Your State Lowering The Boom?
What you need to know to prepare for stricter requirements. Ohio is the latest state [...] - Staffing:
How To Develop A 'Targeted Screen' For Better Legal Standing
Protect your HHA from discrimination claims under the new EEOC guidance. If an employee or [...] - Reimbursement:
Do You Know What Happened To Your Patient? Make Sure Your Coding Says So
And why you’re getting more FTF-related denials. If you’re mixing up your patient status codes, [...] - Leadership:
Retain Your Best Employees With This Tool
Combat high turnover with simple awareness. High turnover is prevalent in the home care industry -- [...] - Education:
How To Avoid The Top Home Health Coding & Documentation Mistakes
Plus: Get the skinny on everything you need to know about M1024 changes. You don’t [...] - Industry Note:
Hospices: MedPAC Has No Favorable Recommendations For You
Commission wants more scrutiny of your long-stay patients. Congress won’t give hospices a payment increase [...] - Industry Note:
Huge Home-Care Fraud Scheme Uncovered
A huge home care fraud bust yielded seven arrests of individuals allegedly involved in a [...] - Industry Note:
Dallas VNA Ends Home Health Services
The Dallas Visiting Nurse Association will end its home care operations in March, and instead [...] - Industry Note:
HHA Owners Convicted of Medicaid Fraud, Identity Theft
HHA owners were convicted of defrauding Medicaid and aggravated identity theft, over the course of [...] - Industry Note:
OIG Spending Millions of Recovery Act Funds
The HHS Office of Inspector General is spending Recovery Act Funds like water, according to [...] - Industry Note:
Inadequate Medical Supervision Leads to Settlement
A Maryland HHA will pay nearly $160,000 in a settlement to resolve false Medicaid claims, [...] - Industry Note:
Give Your Opinion on Safe Harbor Provisions
The OIG is soliciting proposals and recommendations for safe harbor provisions, as well as for [...] - Industry Note:
Number of New ACOs is Exploding
Accountable Care Organizations are popping up seemingly everywhere, as HHS announced 106 new ACOs on [...] - Industry Note:
Palmetto to Review HH PPS Grouper
Get ready for Palmetto GBA to review your home health claims, specifically claims with dates [...] - Industry Note:
Future of QIO Program on the Discussion Table
If you have something to say about the future of Quality Improvement Organizations, CMS is [...] - Industry Note:
HHA Employee Nabbed for 6-Year-Long Fraud Scheme
An HHA employee is charged with carrying out a six-year-long, $1.47-million fraud scheme, reports the [...] - Industry Note:
Countdown to Health Insurance Marketplace Begins
You can celebrate a new pool of insured patients come 2014, just as the U.S. [...]
