Home Health & Hospice Week
Click On This For Medicare Advantage Carve-In Info
Medicare wants to make sure hospices are getting all the info about the new Medicare Advantage carve-in of the benefit that will take effect Jan. 1. On Nov. 19, the HHH Medicare Administrative Contractor Palmetto GBA “mailed a letter and checklist to impacted hospice providers regarding participating plans, billing and claims processing information,” the MAC says in a post to its website. And Palmetto has posted that state-by-state information on its website online at www.palmettogba.com/palmetto/providers.nsf/ls/JM Home Health and Hospice~BVHQ8R4218. The documents offer information, such as which plans and affected areas are participating in the project, as well as instructions. For example: “You must send all notices and claims to both your patient’s participating MAO and your Medicare Administrative Contractor (MAC),” the Centers for Medicare & Medicaid Services says in the document. The information sheet includes billing instructions. Affected states and territories include California, Colorado, Georgia, Hawaii, Idaho, Indiana, Kentucky, Massachusetts, New Mexico, New York, Ohio, Puerto Rico, Utah, and Virginia.
Home Health & Hospice Week
- Compliance:
Home Health Improper Payment Rate Down To 9.3%
Insufficient documentation continues to plague HH claims. Not all the details are out about Medicare’s [...] - COVID-19:
Medicare Expands Hospital At Home Program As COVID Surge Swamps Hospitals
Make sure you understand the differences between the home health benefit and the hospital program. [...] - Fraud & Abuse:
CIA Violation Racks Up $1.3 Million in Penalties For HHA
OIG Semiannual Report works through the naughty list. ‘Tis the season for the OIG to [...] - Audits:
Miami HHA Owes $730,000, OIG Audit Charges
One-third of determinations reversed after rebuttal. A for-profit Miami home health agency is the latest [...] - Hospice:
OIG Admits It Got Nearly Half The Claims Determinations Wrong In Compassus Audit
Plus: OIG pats itself on the back for hospital pay proration for early discharges to [...] - Policy:
Home Care Aides Need First COVID Vaccinations Too, Home Care Groups Urge
Newly approved priority guidelines lack many details. All eyes were on a Centers for Disease [...] - Industry Notes:
Stark Law Reform Eases Some Self-Referral, Kickback Restrictions
Giving free tech to referral sources may be OK, one HHS example says. Home health [...] - Industry Notes:
Click On This For Medicare Advantage Carve-In Info
Medicare wants to make sure hospices are getting all the info about the new Medicare Advantage [...] - Industry Notes:
Beef Up HH Benefit, Study Urges
If insurers including Medicare really want to get the most bang for their buck out [...] - Industry Notes:
Sham Med Director Pay, Bonuses Feature In HH Fraud Settlement
A Sarasota, Florida home health agency and its top executives have agreed to pay $5.8 [...] - Industry Notes:
MACs Unite To Train On Addendum
If you’re struggling with the new hospice election addendum, the MACs are offering some help. [...]
