Home Health & Hospice Week
Big MA Plan To Start Requiring HH Prior Auth
Home health agencies in Connecticut, Florida, Indiana and Ohio: Heads up that UnitedHealthcare Medicare Advantage and Dual Special Needs Plans (D-SNP) will begin requiring prior authorization for all visits after the start of care (SOC) visit. The change will take effect Oct. 1, UHC says in a July 1 message to providers. “For states and UnitedHealthcare Medicare Advantage and D-SNP not mentioned, current existing requirements and processes remain unchanged,” the insurer says. “Members with Delegated PCPs should follow the current process for authorizations. We are not making any changes to that process,” UHC adds. More details, including how to request the authorization and exactly which types of plan members are affected, are in the notice at www.uhcprovider.com/en/resource-library/news/2022/ct-fl-in-oh-home-health-prior-auth-review.html.
Home Health & Hospice Week
- Fraud & Abuse:
Parade Of Home Health Fraudsters In Latest Fraud Report Includes Multiple Physicians
Pro tip: Calling a payment to a physician a ‘copay’ doesn’t mean it’s not a [...] - Hospice:
Texas Fraud Hogs The Spotlight In OIG-DOJ Fraud Report
The massive Merida Group case gets even more airtime. Hospices get their fair share of [...] - Medicaid:
Scrutiny Of Medicaid Aide Services Rolls On
False timesheets in DC lead to arrest. The feds continue to crack down on fraud [...] - Mergers & Acquisitions:
National Chain Officially Spins Off HH, Hospice Business
Plus: Florida hospital teams with VNA, Ohio coalition gains another nonprofit member. It’s been in [...] - Studies & Surveys:
More HHAs In A Hospital's Area Is Associated With Higher Readmissions
Hospitals should steer patients to SNFs, study suggests. Patients may overwhelmingly prefer to receive care [...] - Industry Notes:
Updated OASIS-E Specs Have Arrived
Ask, and ye shall receive. A week after OASIS software vendors were low-key freaking out [...] - Industry Notes:
Senior Medicare Patrol Issued Hospice Fraud Alert.
In 2020, the Senior Medicare Patrol fraud-fighting program netted about half its $16.8 million in [...] - Industry Notes:
Big MA Plan To Start Requiring HH Prior Auth
Home health agencies in Connecticut, Florida, Indiana and Ohio: Heads up that UnitedHealthcare Medicare Advantage [...] - Industry Notes:
Where Will You Fall On HCI Spectrum? Newly Unveiled Stats May Clue You In
You can get into the nitty gritty details of the new Hospice Care Index quality [...] - Industry Notes:
OIG Returns To Obsession With Hospital Early Discharge To HH Penalty
The HHS Office of Inspector General wants to make sure no full payments for hospital [...] - Industry Notes:
HHA Owner Indicted For Kickbacks
A Texas RN and former home health agency owner is facing charges that she received [...] - Industry Notes:
New Report: MCCM Leads To Lower Medicare Spending
Hospice concurrent care makes economic as well as treatment sense, a new report finds. Medicare [...] - Industry Notes:
Hospices May Want To Keep An Eye On Oncology Payment Model Test
A new Medicare payment model test for cancer patients may not involve hospices directly, but [...]
