Home Health & Hospice Week
Industry Note:
Prior Authorization Goes Nationwide This Summer
Published on Fri Dec 30, 2016
Your patients who need two types of power wheelchairs, K0856 and K0861, may have a longer wait for them beginning this spring. “Beginning March 20, 2017, prior authorization will be a condition of payment in New York, Illinois, Missouri, and West Virginia” for the items, the Centers for Medicare & Medicaid Services notes in an email message. “The requirement will expand nationwide in July 2017.”
See more prior auth info at www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Prior-Authorization-Initiatives/Prior-Authorization-Initiatives-.html.
Other Articles in this issue of
Home Health & Hospice Week
- Pre-Claim Review:
Pre-Claim Review To Launch In Florida April 1
Administrative burden is program’s biggest fault. It’s no joke: The much-reviled Pre-Claim Review demonstration program [...] - Pre-Claim Review:
HHAs Stare Down PCR Program Riddled With Problems
The demonstration has made some improvements, however. The potentially unsustainable workload of the Pre-Claim Review [...] - Medical Review:
Hey, Remaining 3 Demo States: Don't Delay In PCR Prep
Meanwhile, industry pursues PCR eradication. The home health industry continues to try to return the [...] - Strategy:
Follow These 6 Hard-Learned Tips For PCR Preparation
Use MAC’s vital Pre-Claim Review checklist. Home health agencies in Florida should be prepared to [...] - Face-To-Face:
Get Ready For Round 2 Of F2F Probe & Educate
Will denial rate north of 90% persist? Medicare gave Florida home health agencies yet another [...] - Fraud & Abuse:
Don't Let Internal Audits Cost You Millions
Ignore a hospice patient who has been on service for 5 years at your own [...] - Fraud & Abuse:
Guilty Pleas Rack Up In Home Care Fraud Case
2 home visit physicians called on the carpet. If more than 97 percent of a [...] - Industry Note:
Beware One MAC's New Signature Deadline
MAC rescinds hasty policy interpretation. Put one more time point on your list of deadlines [...] - Industry Note:
CMS To Hold HHGM Call
Want to find out more about Medicare’s plans for drastic home health payment reform? Tune [...] - Industry Note:
HHA PUF Data Updated
See how you measure up against Medicare’s latest data released for home health agencies. CMS [...] - Industry Note:
Open Door Forum Bumped
Scratch Medicare’s Jan. 11 Home Health, Hospice and DME Open Door Forum off your calendar. [...] - Industry Note:
Keep Tabs On These January CAHPS Dates
You can access your Preview Report for Home Health CAHPS data on Jan. 6, the [...] - Industry Note:
Prior Authorization Goes Nationwide This Summer
Your patients who need two types of power wheelchairs, K0856 and K0861, may have a [...] - Industry Note:
HHA Fraudsters Funnel Patient Kickbacks Through Charity
Mother and son Martha and Luis Lima have pled guilty to Medicare charges, the Miami [...]
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