Home Health & Hospice Week
Preventable Hospitalization Measure In The Works
Expert panel assembling now. Don't miss this opportunity to influence the Medicare requirements you must live by. Medicare contractor Abt Associates is forming a Technical Expert Panel for its project "Development of Potentially Preventable Hospitalization Measures for Home Health Agencies." The twist: Abt and the Centers for Medicare & Medicaid Services want patients and caregivers, not home health agencies and their representatives, to comprise the TEP. The project objectives are to "develop an approach for defining potentially preventable hospitalizations (PPH) for the home health setting" and to "develop potentially preventable hospitalization measures for the home health setting, including standardized items and specifications such as inclusion/exclusion criteria, and patient and facility characteristics - factors associated with outcome measures (risk adjusters)," Abt says. Medicare wants TEP members with a "consumer/patient/family perspective," CMS details on its website. Abt "is seeking patients who have current or past experience with Home Health Agency services and/or their caregiver to participate on the TEP. Patients and/or their caregivers can provide unique and essential input on quality measures based on their own experiences with these care areas." A link to the application is at www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/TEP-Currently-Accepting-Nominations.html. Interested parties must apply by Feb. 22.
Home Health & Hospice Week
- Audits:
New RAC Topic Could Bring Punishing Recoveries
New audit contractor may be ready to pounce after lull. While you're keeping one eye [...] - Strategy:
Fend Off RAC Audits, Denials With These 13 Pointers From The Experts
Zero in on your worst documentation offenders. If you get mired down in Recovery Audit [...] - Appeals:
Gear Up For RAC Determination Appeals
Don't forget the Discussion Period option. If you receive a denial from the Recovery Audit [...] - Medical Review:
Probe & Educate Round 2 Denied Two-Thirds Of Claims Reviewed
F2F continues to lead denial reasons. Can you afford to get paid for only one [...] - Face-to-Face:
Are You Guilty Of These F2F Mistakes?
Tip: The physician must document the date. As in round 1 of Medicare's Probe & [...] - Industry Note:
Preventable Hospitalization Measure In The Works
Expert panel assembling now. Don't miss this opportunity to influence the Medicare requirements you must [...] - Industry Note:
Court Reverses Convictions For HHA Owner, Physician
A federal judge has overturned a fraud conviction in a case that was high-profile enough [...] - Industry Note:
Note New Cap Reporting Policy For Terminating Hospices
Hospices exiting the Medicare market have a new procedure to follow for self-reporting their per [...] - Industry Note:
Industry Hopes For Rural Add-On Rescue
Don't count out your rural add-on yet. "We predict that the rural add-on will be [...] - Industry Note:
Therapy Cap Claims Under 'Rolling Hold'
Claims for outpatient therapy provided in the home under Part B are starting to process [...] - Industry Note:
Florida Provider Widens Service Area
Trilogy Home Healthcare is expanding its service area, the West Palm Beach, Florida-based home health [...]
