Home Health & Hospice Week
Federal Court Decision Invalidates Hospice Caps
A recent federal court decision may bring hospices one step closer to the end of theMedicare hospice cap. A decision handed down Feb. 28 by the U.S. District Court for the Northern District of Oklahoma, declared the hospice cap regulation invalid. In fact, there have been numerous cases on this issue, and "every court that has considered the issue has held that 42 C.F.R. §418.309(b)(1) is invalid," notes U.S. District Judge Gregory Frizzell in the opinion in Infinity Care of Tulsa v. Sebelius (Case No. 09-CV-723-GKF-FHM). Background: In 2007, Infinity Care of Tulsa received about $5.2 million in Medicare payments, according to the decision. But Medicare demanded recoupment of about $1 million based on the per beneficiary cap.
Home Health & Hospice Week
- Reimbursement:
Retool Your ABN Process For F2F Encounter Discharges
CMS backtracks on face-to-face ABNs. The feds have changed their tune on a requirement for [...] - Regulations:
Tackle Therapy Changes On Your Own
CAHPS, home care access, OASIS also addressed in latest Open Door Forum. In just a [...] - Prospective Payment System:
Learn PPS Ropes To Get The Supply Points You Deserve
Make sure you're getting your rightful NRS reimbursement. Nonroutine medical supplies can earn valuable case [...] - Diagnosis Coding:
Pin Down These NRS Diagnoses For Fair Reimbursement
Mind your sequencing to get all the case mix points you're entitled to. Under the [...] - Industry Notes:
New Enrollment, Revalidation Fees Hit Home Care Providers
Also: Your chances of screening scrutiny increase this month. Starting March 25, you'll have to [...] - Industry Notes:
5-Visit Episodes Attract Medical Review Attention
If you're submitting claims for five-visit episodes with a single nurse or social worker visit, [...] - Industry Notes:
Deadline Looms While Suppliers Wait On Bidding Form C
Bid contract suppliers are anxiously awaiting bidding Form C, but it still isn't out at [...] - Industry Notes:
Contractor Discontinues Medicare Denial Letters
If you need a Medicare denial to bill another payer for your services and Palmetto [...] - Industry Notes:
Log On To IACS System Bi-Monthly Or Lose Access
Put one more thing on your to-do list: If you don't log in to the [...] - Industry Notes:
CMS Improved PECOS System, But Will It Help?
Are you still having trouble getting your referring physicians to enroll in PECOS? You aren't [...] - Industry Notes:
Federal Court Decision Invalidates Hospice Caps
A recent federal court decision may bring hospices one step closer to the end of [...] - Industry Notes:
Tap This Medication Tool, Training From The AMA
Looking for a tool to help your patients manage their medications safely? A new [...] - Industry Notes:
HHA Chain Reports Mixed Earnings
Earnings were up but profits were down for HHA chain LHC Group Inc.'s latest quarter. [...] - Reader Question:
Get Quarterly Reconciliation Facts Straight For Outliers
You'll get your outlier payments eventually, if you stay under the 10 percent cap. Question: [...]
