Home Health & Hospice Week
Don't Overlook Legit ADRs Due To RCD Glitch
Glitches with Review Choice Demonstration claims continue. The problem: This time, for RCD home health agencies that selected Choice 5, “a number of ADRs were sent to providers in error,” HHH Medicare Administrative Contractor Palmetto GBA says on its website. (Reminder: Choice 5 HHAs are subject to a random sample of pre-payment reviews.) The solution: At press time, claims ADR’d in error were set to be released on Oct. 6. But “once the identified claims have been released, the provider should respond to those claims that were not released,” Palmetto directs. “Please check DDE and/or remit to understand actions taken on claim.” In other words, if after Oct. 6 the claim is in SB6001, “the claim will require a response to the ADR letter,” Palmetto explains.
Home Health & Hospice Week
- Condition of Participation:
HHAs Cheer PHE Flexibilities For Aide Supervision Going Permanent
But changes need some fine-tuning to be practical for providers. Home health aide supervision is [...] - Therapy:
Bring On Permanent OT Assessments, Commenters Urge CMS
Proposed change doesn’t go far enough, many commenters insist. The silver lining of the COVID-19 [...] - Managed Care:
Number Of Medicare Advantage Plans Offering Hospice To Nearly Double Next Year
NHPCO asks CMS to reconsider model’s second year. The more Medicare Advantage plans you have [...] - Hospice:
These 13 MA Plans Will Cover Hospice For 2022
Beware: Coverage within a plan’s area may vary. AvMed Inc. Cambia Health Solutions Inc. Catholic [...] - Mergers & Acquisitions:
Regional Chain Makes 4th Acquisition Of The Year
Plus: Amedisys is keeping busy. St. Croix Hospice continues to expand, this time in the [...] - Industry Notes:
Provider Relief Fund Fraud Cases Multiply
Don’t forget the Round 4 deadline is Oct. 26. With billions of dollars up for [...] - Industry Notes:
Get Into The Details Of New Hospice Quality Measures.
If you’re still a little fuzzy on the new hospice quality measures, a new question-and-answer [...] - Industry Notes:
Don't Overlook Legit ADRs Due To RCD Glitch
Glitches with Review Choice Demonstration claims continue. The problem: This time, for RCD home health [...] - Industry Notes:
Even Short HH Services Delays Lead To Rehospitalizations, Study Says
Another study has shown that prompt home health care can prevent rehospitalizations. “Medicare patients with [...] - Industry Notes:
New Hospice Quality Measures Mean New HQRP Documents
You can now download an updated version of the Hospice Quality Reporting Program Quality Measure [...] - Industry Notes:
Hurricane Ida Reporting Exemptions Are Available, CMS Assures
Just because the Centers for Medicare & Medicaid Services didn’t offer a blanket waiver for [...] - Industry Notes:
Unlicensed Nurse Costs HHA $47K
Make sure checks for expired nursing licenses don’t fall to the bottom of your to-do [...] - Industry Notes:
HIPAA Enforcement Agency Gets New Director
Changes for HIPAA enforcement may be ahead. The HHS Office for Civil Rights finally has [...]
