Home Health & Hospice Week
RAC Targets Hospice CHC
Hospices should brace for yet more scrutiny on Continuous Home Care. Recovery Audit Contractor Performant has announced that the Centers for Medicare & Medicaid Services approved CHC as a nationwide audit topic Feb. 1. “This review will determine if hospice Continuous Home Care services were reasonable and necessary to achieve palliation and management of the patient’s acute medical symptoms to maintain the terminally ill patient at home, based on the documentation in the medical record. Claims that do not meet the indications of coverage and/or medical necessity will be denied,” the RAC says on its audit issues webpage. Performant can audit claims that have a “claim paid date” that is up to three years before the Additional Development Request (ADR) date, the RAC specifies. More details including revenue codes and HCPCS codes affected are at www.performantcorp.com/solutions/healthcare/cms-rac-resources/cms-approved-audit-issues/default.aspx.
Home Health & Hospice Week
- COVID-19:
CDC Vaccination Guidelines For Homebound Persons Address Storage, Transport, More
Vaccine should go straight to home health and hospice providers, trade group suggests. As COVID-19 [...] - Regulations:
Can New PREP Act Change Eliminate HH, Hospice Vaccination Hurdles?
Can New PREP Act Change Eliminate HH, Hospice Vaccination Hurdles? If the feds can see [...] - Hospice:
Visits For Last Days Of Life Measure Must Be On Separate Days
HIS V3.00, Hospice Care Index also touched on. Hospices are finally getting some answers about [...] - Fraud & Abuse:
Agencies And Owners Pay $1.85 Million In Sham Medical Director Case
Everything’s bigger in Texas — including fraud settlements. From bogus medical director payments to travel [...] - Enforcement:
HH, Hospice CEO Draws Lengthy Prison Sentence
South Texas executive’s prison term is outstripped only by his co-conspirator’s. Telling Medicare beneficiaries they [...] - Industry Note:
Stay Tuned For Possible Help Via $1.9 Trillion COVID Stimulus Package
Keep a close eye on possible minimum wage hike. What exactly will be in or [...] - Industry Notes:
HHS Sec. Confirmation Slow Going
The Biden administration’s nominee for HHS Secretary was looking far from assured for confirmation at [...] - Industry Notes:
RAC Targets Hospice CHC
Hospices should brace for yet more scrutiny on Continuous Home Care. Recovery Audit Contractor Performant [...] - Industry Notes:
Payment System Glitch Shortchanges PDGM Claims Spanning Jan. 1
Stay tuned for how to fix a new Medicare claims system glitch affecting home health [...] - Industry Notes:
Outreach Guide Takes Aim At Inequities In Hospice
Hospices have a new tool to try to address disparities in utilization. The National Hospice [...] - Industry Notes:
Texas Storm Flexibilities In Place
Devastating winter storms that affected Texas may not have triggered as many waivers from Medicare [...] - Industry Notes:
Tap Further Vaccine Ed Resources
You may be used to looking to CMS, the CDC, and your state and local [...] - Industry Notes:
Beware NOEs Returned With U5106
Notice of Election submissions are confusing enough, but a new claims system glitch will make [...]
