Home Health & Hospice Week
Stark Law Changes Under Medicare Consideration
Are Stark Law prohibitions making your life difficult — especially when it comes to patients’ care coordination? CMS wants to hear about it. The Stark Law, which prohibits physician referrals to entities in which they have a financial interest, came up frequently when the Centers for Medicare & Medicaid Services requested feedback from providers on reducing regulatory burdens. “CMS is particularly interested in the public’s input on the structure of arrangements between parties that participate in alternative payment models or other novel financial arrangements, the need for revisions or additions to exceptions to the physician self-referral law, and terminology related to alternative payment models and the physician self-referral law,” the agency says in a release. Interested parties can submit comments by Aug. 24 via a link at https://blog.cms.gov/2018/06/20/working-together-for-value.
Home Health & Hospice Week
- Reimbursement:
2.1% Pay Hike To Bring $400M More To HHAs Next Year
For once, HHAs have no rebasing or case mix creep cuts to contend with. For [...] - Prospective Payment System:
Medicare's New Pay Reform Proposal Looks Awfully Familiar
New PDGM is HHGM with a few tweaks. If you didn’t like Medicare’s ideas on [...] - OASIS:
These 8 OASIS Items Will Determine Your Functional Scores Under PGDM
M1800: Grooming
M1810: Current Ability to Dress Upper Body
M1820: Current Ability to [...] - Diagnosis Coding:
Check Out The Secondary Dx Groups That Will Boost PDGM Pay
CMS listened to HHGM commenters and revised the case mix category methodology. The newly proposed [...] - Billing:
Medicare Wants To Scrap RAPs Under Payment Reform
LUPAs thresholds to vary under PDGM. The home care industry may hate the idea, but [...] - Fraud & Abuse:
Proposed Rule Cites Abuses In Pushing For RAP Elimination
Will out-and-out fraudsters wreck your cash flow? If you’re wondering why Medicare wants to mess [...] - Regulations:
Medicare Provides More Info On Pay Reform This Time Around
Data helps pinpoint winners, losers under new payment system. Aside from budget neutrality, the PDGM [...] - Documentation:
Proposed Rule Snuffs Out Any Hope For Documentation Reform Based On BBA 18
HHAs can’t celebrate their independence from this hassle. While not exactly what home care providers [...] - Certification:
HHAs To See Some Relief With Physician Recert Estimates
F2F reform is what’s really needed, expert urges. After years of punishing claims denials based [...] - Industry Note:
Massive Fraud Takedown Includes Home Care Providers
Cases tick the usual fraud hot spot boxes. More proof of the feds’ increased fraud [...] - Industry Note:
MBI Card Wave 3 Starts
If you’re in a “Wave 3 state” for the new Medicare cards, your patients should [...] - Industry Note:
Stark Law Changes Under Medicare Consideration
Are Stark Law prohibitions making your life difficult — especially when it comes to patients’ [...]
