Home Health & Hospice Week
Beware New Claims Glitch
Look at your claims closely to determine whether a newly reported claims glitch is costing you your rightful reimbursement. “Some home health claims are receiving incorrect partial period payment adjustments” when they shouldn’t, HHH Medicare Administrative Contractor Palmetto GBA says in its Claims Processing Issues Log. Reminder: Partial period payment adjustments should only occur when a patient has been discharged and readmitted to home care within the same 30-day period of care; when a patient transfers to another HHA during a 30-day period of care; or in cases where the patient elects Medicare Advantage (MA) coverage during an HH PPS period of care, Palmetto reminds agencies. “These situations are indicated on the claim by reporting a Patient Discharge Status code of 06. Based on the presence of this code, Pricer calculates a partial period payment adjustment to the claim,” Palmetto explains. For now, home health agencies must sit tight on the problem. “This issue has been reported and is being researched,” the MAC pledges. “Palmetto GBA will provide updates when available.”
Home Health & Hospice Week
- Hospice:
Proposed 2.7% Pay Increase Is Severely Inadequate, Hospices Warn CMS
Why are Medicare Advantage Organizations getting 8.5% while hospices will see much less? In a [...] - Reimbursement:
Here’s What’s Driving Up Hospice Costs — And May Soon Drive Hospices Out Of Business Altogether
The list of what isn’t causing costs to skyrocket may be shorter. Hospices hope there’s [...] - Mergers & Acquisitions:
Big Companies Move On Home Visit Deals
Plus: Two new developments have July 1 target dates. The world of home care continues [...] - HIPAA:
Look Inward For Threats To Your Cybersecurity
Whether it’s an accident or on purpose, you must protect yourself against internal security incidents. [...] - Industry Notes:
RCD Claims Problems Plague Providers
So much for that 10-day timeline for PCR decisions. Getting claims processed cleanly under the [...] - Industry Notes:
Medicare Recommends Potentially Lowering Costs For Beneficiaries
For your patients that were shocked by last year’s Medicare Part B premium increase, there’s [...] - Industry Notes:
MAC's Decision Tree Can Lead You To Correct Fee Application
Not sure whether you need to pay the application fee when enrolling, revalidating, or adding [...] - Industry Notes:
Ratio Of Original Medicare To MA Benes Is Close To Equal
If you’re wondering just how many new Medicare beneficiaries are in your potential patient pool, [...] - Industry Notes:
States' PEPPER Download Rates Range From 17% to 89%
Are you behind your competitors in checking out your stats in your PEPPER report? Information [...] - Industry Notes:
Beware New Claims Glitch
Look at your claims closely to determine whether a newly reported claims glitch is costing [...] - Industry Notes:
NHPCO Guide Helps Hospices Reach Out To Underserved Community
If you’re hoping to work on equity in hospice utilization, a new resource from The [...] - Industry Notes:
$87M Fraud Scheme Masterminds Plead Guilty
The big fish in the Moriarty Consultants Medicaid fraud case in Pittsburgh have finally had [...] - Industry Notes:
Concealed Crimes Lead To Charges
Medicaid home care agency owner in Florida has been charged with a felony after failing [...]
