Home Health & Hospice Week
Industry Note:
You Must Handle Your Own Managed Care Disputes
Published on Fri Jan 10, 2014
If you’ve got a payment dispute with a Medicare Advantage Organization, you’ll be on your own to sort it out starting next month.
"Currently, CMS provides the services of an independent contractor, C2C Solutions, Inc., to adjudicate payment disputes between non-contracted providers, Medicare Advantage Organizations (MAOs), and other payers," the agency says in a message posted to Medicare Administrative Con-tractor websites. "After January 31, 2014, CMS will no longer be able to offer these services due to budgetary constraints."
C2C will process disputes received until Jan. 31. After that, the contractor will return adjudication requests.
Other Articles in this issue of
Home Health & Hospice Week
- Prospective Payment System:
Take These 10 Steps To Tackle Rebasing Cuts
Tip: Know your stats like the back of your hand. Now that rebasing cuts have [...] - Reimbursement:
Diversify Your Payers, But Beware Of Low Rates
Toughen up your rate negotiation tactics. With Medicare profit margins sinking lower and lower over [...] - Strategy:
Keep These Tips In Mind When Pursuing Growth
To achieve efficiencies and economies of scale required by the newly reduced PPS rates, home [...] - Human Resources:
Pass It On: 5 Ways To Keep Employees Informed
Use regular newsletters and company-wide meetings to let your employees in on important organizational changes. [...] - Industry Note:
Get Ready For Hospice Item Set Implementation
HIS manual, training video coming. Your crash course in the new data collection tool for [...] - Industry Note:
Medicare Increases Its Focus On Hospitalizations
You aren’t the only ones getting the third degree for hospital transfers. Skilled nursing facilities [...] - Industry Note:
Medicare Cracks Down On Transfer Prorations
You may see increased pushback from hospitals that had eluded proration of DRGs for patients [...] - Industry Note:
Ready, Set, Submit Your Hospice Quality Data
You may now submit your Hospice Qual-ity Reporting Program (HQRP) data for 2013 on CMS’s [...] - Industry Note:
OIG Highlights Hospice GIP For Scrutiny
The OIG hasn’t overlooked hospices in its latest semiannual report to Congress. The watchdog agency [...] - Industry Note:
You Must Handle Your Own Managed Care Disputes
If you’ve got a payment dispute with a Medicare Advantage Organization, you’ll be on your [...] - Industry Note:
Docs' Personal Preferences Drive Hospice Timing
Physician preference, rather than pa-tient preference, may be guiding hospice utilization more often than widely [...] - Industry Note:
Accrediting Body Whittles Home Care Requirements
Home health agencies accredited by the Joint Commission have nine less requirements to worry about. [...] - Industry Note:
Another Prominent Newspaper Addresses Hospice Care
After a scathing exposé on for-profit hospices recruiting long-stay patients, the New York Times is [...] - Reader Question:
Use These Precautions When E-Mailing Patient Info
Watch your step or you’ll violate HIPAA. Reader Question: I sometimes e-mail pa-tient records [...]
View All
