Home Health & Hospice Week
Don’t waste time and resources
Don’t waste time and resources on appeals tasks you don’t need to do, urges one HHH Medicare Administrative Contractor. “When submitting a redetermination, you are required to submit all necessary medical documentation to support the services billed on your claim,” explains MAC National Government Services. “You must submit a complete medical record when requesting an appeal,” NGS says in a recent message to providers. However: “If documentation was previously submitted to the Medical Review Department or another contractor, such as the recovery auditor (RA), Comprehensive Error Rate Testing (CERT) or Unified Program Integrity Contractor (UPIC), those medical records are included in the file reviewed by the Appeals department and you do not have to resend those records to us,” NGS advises.
Home Health & Hospice Week
- Value-Based Purchasing:
VBP Picture Becomes Clearer As HHAs Progress Into First Performance Year
Plus: Don't forget to check your latest QAO report. Keep your eyes peeled for more [...] - Oasis:
Hospice Discharge Exclusions Apply To More Measures Than ‘Discharged To Community’
The list of affected home health measures may be longer than you think. The longer [...] - Quality:
Watch Out For 2 Forthcoming HOPE-Based Quality Measures
Plus: IDR proposal should be in home health rule with SFP provision. Medicare hasn’t even [...] - Budget:
Biden Executive Order May Boost Home Care
Medicaid regulations, dementia respite care, and model employment agreements rate mentions. President Joe Biden and [...] - HIPAA:
Don’t Forget — HIPAA Enforcement Discretion Is Sunsetting Along With The PHE
OCR is going to teach you how to say goodbye. With the COVID public health [...] - Hospice:
Hospices Dump Undesirable Facilities
NC health system sheds in-home hospice service, conversely. Hospice inpatient facilities seem to be on [...] - Industry Notes:
South Texas HHA Owner Faces 4 Years In Prison
Directing employees to create “ghost notes” is among the crimes. After pleading guilty to a [...] - Industry Notes:
Check Out Recording, Transcript Of PDGM Cut Webinar
If you missed the chance to hear Medicare officials justify the program’s steep PDGM cuts, [...] - Industry Notes:
OIG Spends Vast Majority Of Its Time On CMS Oversight
If you feel the heat of the HHS Office of Inspector General’s gaze, it’s probably [...] - Industry Notes:
Ditch XREF DCNs On These Claims
Get ready to potentially change your billing procedures. Old way: Home Health & Hospice Medicare [...] - Industry Notes:
Heed MAC's Advice On Confusing Primary Diagnosis Coding
Not sure what to do when you have a combination diagnosis code listed on the [...] - Industry Notes:
Don’t waste time and resources
Don’t waste time and resources on appeals tasks you don’t need to do, urges one [...] - Industry Notes:
LHC Snaps Up Summit
Don’t waste time and resources on appeals tasks you don’t need to do, urges one [...]
