Home Health & Hospice Week
MAC Divulges More Medical Review Resumption Specifics
Medicare is cranking up its medical review machine for all providers, and more details are coming out about what that means. For example: “Beginning August 17, the MACs are resuming with post-payment reviews of items/services provided before 3/1/2020,” HHH Medicare Administrative Contractor Palmetto GBA reveals in a post to its website. That means no claims from the pandemic period will be included. “The Targeted Probe and Educate program ... will restart later,” says HHH MAC National Government Services in an identical post on its website. “The MACs will continue to offer detailed review decisions and education as appropriate.” NGS has shared a few more details with the National Association for Home Care & Hospice, the trade group says in its member newsletter. Reviews will be service-specific as opposed to provider-specific; will be a random sample; the maximum number of claims pulled per provider will be 20 with no minimum; and the MAC will post a brief description of the service-specific audits on its website.
Home Health & Hospice Week
- Surveys and Certification:
Routine Surveys Are Back — And You Could Be Next On The List
Will home care providers face the same punishing scrutiny as nursing homes? The feds seem [...] - Compliance:
IJ Revisits, Complaint Surveys Top New Survey Priority List
Recert surveys are at the bottom of the list. While a provider is never sure [...] - Medical Review:
HHAs Pull Out All The Stops To Head Off RCD In FL, NC
PHE and RCD don’t mix, members of congress tell CMS. Medicare officials are in the [...] - Fraud & Abuse:
HHA Audited By OIG Pushes Back Based On Homebound Criteria
Newest report piles on the pressure. A government watchdog agency wants a San Diego home [...] - Industry Notes:
New Home Infusion Therapy Billing Details Revealed
Pay rate will be higher for initial visit. The new home infusion therapy services benefit [...] - Industry Notes:
Don't Miss Out On Another Go-Round For PRF Applications
Home care providers that haven’t accessed Provider Relief Funds yet still have a chance. The [...] - Industry Notes:
MAC Divulges More Medical Review Resumption Specifics
Medicare is cranking up its medical review machine for all providers, and more details are [...] - Industry Notes:
Gain Insights On HOPE Assessment Tool Development With New Abt Report
If you want to keep tabs on how the Hospice Outcomes and Patient Evaluation hospice [...] - Industry Notes:
Employers Oppose Executive Order On Social Security Payroll Tax Relief
President Trump’s Aug. 8 executive order deferring certain payroll taxes may not help employees — [...] - Industry Notes:
Begin Your Hospice Quality Reporting Program Educational Journey With New Resource
If you’re looking for a Hospice Quality Reporting Program rundown, Medicare now has one. The [...] - Industry Notes:
New York Hospice Settles GIP, CHC Upcoding Charges For $5.2 Million
Higher-level care continues to be a flash point for hospice fraud investigations. Metropolitan Jewish Health [...] - Industry Notes:
NJ, IL Hospices Are Latest To Shed 'Hospice' Name
More hospices are rebranding away from the “hospice” name. In New Jersey: Samaritan Healthcare & [...] - Industry Notes:
Multi-State Chains Make Hospice Acquisitions In 3 States
Hospice deals continue to rack up. In Texas: Home health and hospice provider Traditions Health [...]
