Home Health & Hospice Week
Industry Notes:
CMS Revises ACO Program To Increase Participation
Published on Fri Jun 12, 2015
You’d better polish up your negotiating skills, because it looks like Medicare Accountable Care Organizations aren’t going away any time soon.
CMS has issued a rule that it says will make the ACO program more flexible and will “grow participation,” according to a statement. The program has faced criticism for overly stringent benchmarks and other problems leading organizations to drop out (see Eli’s HCW, Vol. XXIII, No. 34).
See more about the changes at www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/index.html
Other Articles in this issue of
Home Health & Hospice Week
- OASIS:
Avoid OASIS-Claims Matching Reimbursement Drain
Double-check your software if you’re seeing billing mismatches. If Medicare’s OASIS-HIPPS code matching edit has [...] - Billing:
No OASIS? No Problem - For Now
Warning: Lack of matching OASIS may flag your claims for medical review. For now the [...] - Appeals:
Prepare For Medicare Appeals Process To Change Drastically
Early stage appeals need to be more accurate, home care reps urge. Nearly everyone agrees [...] - Reimbursement:
Are Medicare Appeal Fees In Your Future?
OMHA proposals to shorten appeals timeframes could restrict your appeal rights, advocates warn. In addition [...] - Know Your Facts:
Appeals Timeframes Continue To Lengthen
Expect typical processing time for appeals decisions to exceed 540 days. Due to the overwhelming [...] - Industry Notes:
Wait Until October For These Payment Fixes
Date set for correction of 2 recoding errors. If you’ve seen problems with your home [...] - Industry Notes:
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You can take a look at the updated Hospice Item Set Manual before you listen [...] - Industry Notes:
Here's How To Handle ICD-10 For Claims Spanning Oct. 1
With the Oct. 1 start date for ICD-10 implementation less than four months away, now’s [...] - Industry Notes:
DOJ Probes Amedisys Again, This Time Over Hospice
The feds are combining two of their favorite investigation targets — hospice patients and publicly [...] - Industry Notes:
Bill To Kill 'Super-MedPAC' Advances In House
Many home care providers will be happy if a bill recently passed out of committee [...] - Industry Notes:
CMS Revises ACO Program To Increase Participation
You’d better polish up your negotiating skills, because it looks like Medicare Accountable Care Organizations [...] - Industry Notes:
GAO Urges Inter-Agency Cooperation For Home Care
The federal government may be able to make home care available to more seniors if [...] - Industry Notes:
Whistleblower Sparks $6.5M Fraud Settlement
A Tennessee home care organization and its owner have agreed to pay $6.5 million to [...]
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