Home Health & Hospice Week
AIC Remains Unusually Flat For 2022
At least one thing isn’t going up next year — the amount in controversy (AIC) threshold. Reminder: The Centers for Medicare & Medicaid Services determines AIC thresholds for ALJ hearings, which are the third level of the Medicare appeals process. The AIC numbers are usually adjusted for inflation every year, but CMS has opted to carry over the 2021 threshold amounts for 2022, indicates an agency notice. “The AIC threshold amount for ALJ hearings will remain at $180 and the AIC threshold amount for judicial review will remain at $1,760 for CY 2022,” the CMS notice says. “These amounts are based on the 76.149 percent increase in the medical care component of the CPI.” See the notice in the Federal Register at www.govinfo.gov/content/pkg/FR-2021-09-30/pdf/2021-21288.pdf.
Home Health & Hospice Week
- Hospice:
Hospices Appeal For Payment Suspension Lenience
Plus: Where will all that CMP money go? A whole raft of hospice survey changes [...] - Surveys and Certification:
Providers, Accreditors Split On Multidisciplinary Survey Teams
Do you want professionals other than RNs surveying your agency? The surveyor-hospice relationship can be [...] - Regulations:
Prohibiting Surveyor Conflicts Of Interest Proves Popular
But what exactly should constitute a conflict? If the latest proposed rule regarding hospice survey [...] - HIPAA:
Don’t Let Employee COVID Vaccinations Trip You Up With HIPAA
Do you know if staff vaccination status counts as PHI? State and employer mandates for [...] - Mergers & Acquisitions:
PE-Backed Chain Snaps Up Arizona Agency
Hospice chain raises minimum pay to $20 per hour. Reimbursement and regulatory uncertainties aren’t scaring [...] - Fraud & Abuse:
Doc Pays $640K To Settle Home Health Kickback Charges
Plus: Medicaid home health agency to fork over whopping $2.9 million for ghost hours. It’s [...] - Industry Notes:
Multiple Vaccination Mandate Regs Converge On Providers
Keep an eye out for Medicare-specific rule. As state-specific COVID vaccination mandates start to hit [...] - Industry Notes:
No-Pay RAP HIPPS Code Still Must Match Final Claim, MAC Reminds
Don’t let mismatched HIPPS codes on your Requests for Anticipated Payment and final claims slow [...] - Industry Notes:
AIC Remains Unusually Flat For 2022
At least one thing isn’t going up next year — the amount in controversy (AIC) [...] - Industry Notes:
Take A Look At Your Neighbor Agencies' Data In Updated Medicare File
A new year of data is now available in the Medicare Post-Acute Care & Hospice [...] - Industry Notes:
CMS Reminds Hospitals Why They Don't Want Early PAC Discharges
If you’re wondering why hospital discharges to home may seem sluggish, a recent message from [...] - Industry Notes:
Virginia Agency Shells Out $100K In Back Wages
A Virginia home health agency has paid nearly $100,000 in back pay to aides after [...]
