Home Health & Hospice Week
Pay Up Or Appeal For Incarcerated Denials
Don’t expect to see denials for supposedly incarcerated beneficiaries cleared up before October. So says the Centers for Medicare & Medicaid Services in a Frequently Asked Question set on the matter.
"The resolution of this situation will require a series of complex actions including the restoration of the original data on the Medicare Enrollment Data Base, the identification of the overpayments that will need to be abated or refunded, and the creation of claims processing system utilities to effectuate the necessary changes," CMS says in a FAQ updated July 31.
Information on related refunds, appeals, and more is online at www.cms.gov/Medicare/Medicare-Contracting/FFSProvCustSvcGen/Downloads/Incarcerated-Beneficiary-FAQs-8-1-13.pdf.
Home Health & Hospice Week
- Hospice:
Medicare Sticks With 1% Hospice Payment Increase For 2014 -- Before Sequestration
More payment changes are on the way, CMS signals in final rule. Your costs are [...] - Diagnosis Coding:
Hospice Failure To Thrive, Debility Claims Start Returning To Provider In Fall 2014
Code all coexisting conditions, CMS also urges in final rule. You’ve got about a year [...] - Proposed 2014 Hospice Payment Rates
- Regulations:
New Hospice Data Set Required Next Summer
Gear up now for the July 1 start date for HIS. Get ready to fill [...] - Privacy:
Stolen Laptop Leads To HIPAA Privacy Breach Notice For Another HHA
Make sure you’re taking this simple step to head off a HIPAA disaster. If you [...] - Industry Notes:
Benchmark Yourself With This Billing Data
Are your average visit numbers per episode closer to 12 or 26? Is your average [...] - Industry Note:
Pay Up Or Appeal For Incarcerated Denials
Don’t expect to see denials for supposedly incarcerated beneficiaries cleared up before October. So says [...] - Industry Note:
Missing Doc Signature Means No Billing
Don’t rely on your patient’s say-so to start delivering services. So says HHH Medicare Administrative [...] - Industry Note:
Figure Out Therapy Hold Impact On Reassessments
If therapy holds are tripping up your reassessment window for the discipline, an educational tool [...] - Industry Note:
HHA Faces Lawsuit From Pregnant Ex-Employee
Be sure you handle workplace discipline with open communication or you may face the situation [...] - Industry Note:
Feds To Sink $30 Million Into Falls Prevention Trial
Do you have a great strategy for preventing falls in your older patients? Then the [...] - Industry Note:
Listen In To Reap Benefits From Hospice CBR
You can learn to use your hospice Comparative Billing Report with a newly posted educational [...] - Industry Note:
VNA Shutters Medicare HHA Business
A 45-year-old nonprofit VNA is closing its home health agency unit due to lower reimbursement, [...] - Industry Note:
Former HHA Owner Draws 4-Year Jail Term
The feds continue to put away Medicare home care fraudsters. In Michigan: Former HHA owner [...]
