Home Health & Hospice Week
Therapy Cap Claims Under 'Rolling Hold'
Claims for outpatient therapy provided in the home under Part B are starting to process with the therapy cap in place. The Centers for Medicare & Medicaid Services said earlier it was holding the claims in light of a potential legislative development in the matter (see Eli's HCW, Vol. XXVII, No. 5). Now CMS says it "is immediately releasing for processing held therapy claims with the KX modifier with dates of receipt beginning January 1-10," according to a Jan. 26 message to providers. But "CMS will also implement a 'rolling hold' to minimize impact if legislation to extend the outpatient therapy caps exceptions process is enacted." Remember: The therapy caps apply only to outpatient therapy furnished under Part B, not to therapy services furnished under the home health benefit.
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 [...]
