Home Health & Hospice Week
Industry Note:
Prepare For RAP Hold On Jan. 1
Published on Fri Dec 13, 2019
Many things will change with PDGM’s implementation Jan. 1, but some things will stay the same. For example: “Medicare Administrative Contractors (MACs) typically hold claims for a brief period each quarter when they implement system releases,” the Centers for Medicare & Medicaid Services notes in a message to providers. “This January, home health Requests for Anticipated Payment (RAPs) are affected by implementation of the Home Health Patient-Driven Groupings Model. MACs will hold RAPs with From Dates on or after January 1, 2020, and process them once the updates are complete.” How long completion of those updates will take may depend on any glitches resulting from the PDGM changes.
Other Articles in this issue of
Home Health & Hospice Week
- Reimbursement:
MedPAC To Ratchet Up Cut Recommendation To 7%
Increase comes as a surprise. While home health agencies are facing down the biggest change [...] - Finance:
Here's How HHA Profit Margins Have Stacked Up This Decade
Profits have seen some sharp peaks and valleys. With the 2010s about to close, it’s [...] - Know Your Facts:
MedPAC Predicts Higher Profit Margin Under PDGM
Agency number and episode volume fall — again. Take a look at the facts and [...] - Billing:
Ring In The New Year With Functioning Billing
Warning: HICNs will reject in a few weeks. Don’t get so caught up in PDGM [...] - HIPAA:
You Must Protect All Of These PHI Identifiers
If you mess up on what’s PHI and what isn’t, the price tag may be [...] - Industry Note:
MedPAC Readies Rate Freeze, Cap Reduction Recs
Cap reduction will risk access, expert warns. Hospices’ relatively high average profit margin of 12.6 [...] - Industry Note:
Prepare For RAP Hold On Jan. 1
Many things will change with PDGM’s implementation Jan. 1, but some things will stay the [...] - Industry Note:
OIG Beats Hospice Survey Drum Again
The HHS Office of Inspector General’s Semiannual Report to Congress is another chance for the [...] - Industry Note:
Where Is Rural Add-On Help?
A Nov. 21 blog post by CMS Administrator Seema Verma extolls the Centers for Medicare [...] - Industry Note:
Benchmark Yourself Against These Stats
The more information you have at your fingertips, the easier PDGM implementation and other challenges [...] - Industry Note:
5-State Hospice Chain Expands With Acquisition
Heart of Hospice based in Columbia, South Carolina, has purchased the operations of Heartstrings Hospice, [...] - Industry Note:
LHC-LifePoint Makes Arkansas Buy
LHC Group Inc. and LifePoint Health are further expanding their joint venture with an agreement [...] - Industry Note:
Another Texas Hospital Sells HH Unit
In Texas, the Gainesville Hospital District board has voted to sell North Texas Medical Center’s [...] - Industry Note:
State DOH Settles Fraud Allegations For $13.4M
State governments and hospice fraud settlements don’t usually go hand-in-hand, but a recent case is [...] - Industry Note:
HH Spending Grows
Total national healthcare spending in 2018 grew 4.6 percent to $3.6 trillion, according to new [...]
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