Home Health & Hospice Week

Industry Notes:

Reimbursement Cut Hampers Regulatory Compliance

Starting Jan. 1, you have 5 percent less on average to work with. Home health agencies have a slew of new requirements to comply with in a few shorts days, and less resources to do so. Agencies will have to tackle new requirements for face to face encounters, new billing codes, physician signature dating, and more with almost 5 percent less Medicare reimbursement, on average. The prospective payment system final rule for 2011, published in the Nov. 17 Federal Register, slashed agencies' Medicare rates by that amount (see Eli's HCW, Vol. XIX, No. 39, p. 306). The cuts could close some providers' doors and will certainly impact care given to patients. "In Connecticut alone, you're looking at in excess of $18 million in lost revenue," Bill Sullivan, CEO of the Visiting Nurse Services of Connecticut, recently told the Connecticut Mirror newspaper. "The potential consequence ... is denial of patient access." [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All