Home Health & Hospice Week
Get New Coverage And Payment Info On COVID-19 Vaccine, Treatment
The ramp-up to COVID-19 vaccination continues, and a new treatment option is now covered. “If you intend to administer the COVID-19 vaccines when they become available, or the new monoclonal antibody bamlanivimab, especially if you intend to roster bill these codes, please download and install the new release of PC-ACE,” the Centers for Medicare & Medicaid Services said in a Nov. 12 notice. “This release includes the coding structure, currently comprised of both a HCPCS Level I CPT code structure issued by the American Medical Association (AMA) and a HCPCS Level II code structure issued by CMS.” On Nov. 13, CMS announced “Medicare beneficiaries can receive coverage of monoclonal antibodies … with no cost-sharing during the public health emergency (PHE). CMS’ coverage of monoclonal antibody infusions applies to bamlanivimab, which received an emergency use authorization (EUA) from the U.S. Food and Drug Administration yesterday.”
Home Health & Hospice Week
- Patient-Driven Groupings Model:
Don’t Let No-Pay RAPs Sink You In 2021
Prediction: Reimbursement shortfall will lead to more agency sales, closures. If you’re waiting for a [...] - Reimbursement:
Prepare For No-Pay RAP Success With These 12 Tips
Focus on the 3 items required in the new RAP. The reimbursement seas are going [...] - Finance:
Don’t Miss These No-Pay RAP Clarifications
Bad news: Outlier, LUPA payments are affected. A few no-pay RAP details revealed in the [...] - Hospice:
Get Ready To Be Judged On Drug Claims
New PEPPER target area to debut in the spring. Hospices will have one more metric [...] - Compliance:
Beware Speaker Fees For Your Referring Docs After OIG Fraud Alert
Paying referral sources for speaking at in-services will land you under increased scrutiny. When one [...] - Industry Notes:
Medicare Home Health Improper Payment Rate Falls Again
Exactly how far still unclear. Home health agencies are looking less and less like the [...] - Industry Notes:
Get New Coverage And Payment Info On COVID-19 Vaccine, Treatment
The ramp-up to COVID-19 vaccination continues, and a new treatment option is now covered. “If [...] - Industry Notes:
Federal Judge: States Can Collect HH Union Dues
A San Francisco federal judge has sided with the California Attorney General in a lawsuit [...] - Industry Notes:
Compare Change Nearly Complete
Say goodbye to Home Health Compare and Hospice Compare next month. But all of their [...] - Industry Notes:
MA Plans To Reach Out To Hospices
Watch your snail mail for information about the Medicare Advantage hospice carve-in. Medicare Advantage Organizations [...] - Industry Notes:
Benefit Manual Updated For New Hospice Election Requirements
The Medicare Benefit Policy Manual now reflects the addition of the new hospice election statement [...] - Industry Notes:
HIT Enrollment Underway
The enrollment requirements for suppliers of services under the new home infusion therapy (HIT) benefit [...] - Industry Notes:
Appeals Won't Help Your RCD Stats
Dec. 1 starts a new Review Choice Demonstration cycle for home health agencies in Illinois [...]
