Home Health & Hospice Week
At Least One Area Will See Lighter Medical Review Load
The feds are scaling back CERT medical review a bit. The Centers for Medicare & Medicaid Services “will permanently reduce the Comprehensive Error Rate Testing (CERT) program sample size starting with reporting year (RY) 2025,” CMS says in its April 25 MLN Connects bulletin. “The sample size for improper payment measurement review will decrease from 50,000 to 37,500 claims annually,” CMS says. Heads up: “If the CERT Review Contractor completes the RY 2025 review but removes your claim from the sample, they’ll send you a letter,” CMS tells providers. And “your Medicare Administrative Contractor will: Adjust the claim if required to reflect the correct codes and payment [and] Pay or collect if needed,” the agency adds.
Home Health & Hospice Week
- Reimbursement:
Physician Certification Edit Bumped To June
Q&As clear up some confusion. Despite what you might have read from Medicare or your [...] - Hospice:
Follow These 5 Tips To Survive And Thrive Under New Certifying Physician Edit
How far have you gotten in checking your physicians? Hospices have little time left to [...] - Labor Law:
Feds Fine Elara Caring 6 Figures In Nurse Death Case
Suspect in case recently arrested on murder charges. Home health and hospice providers are grappling [...] - Compliance:
DOL, CDC Offer Guidance On Staff Safety
Panic buttons, escorts are among OSHA and NIOSH suggestions. The deaths of two home health [...] - HIPAA:
United Health-Change Healthcare Attack Underscores Your HIPAA Duties
OCR sharpens focus of HIPAA investigation. Even if your reimbursement and other operations have not [...] - Industry Notes:
Take A Look At Your Latest VBP Numbers From Medicare
Recalculation requests are due by May 15. The clock is ticking down to the time [...] - Industry Notes:
Take Note Of These Worksheet Changes In Newest Home Health Cost Report Form
Medicare has updated its home health agency cost report forms, again. The changes apply to [...] - Industry Notes:
New Federal Legislation Takes Aim At 80-20 Bill
Home care providers opposed to the recently finalized 80-20 bill mandate are getting some help. [...] - Industry Notes:
Federal Court Dismisses NAHC's PDGM Lawsuit, But Trade Group Vows To Bounce Back
Home health agencies shouldn’t expect a quick fix to reimbursement rates from NAHC’s PDGM lawsuit. [...] - Industry Notes:
Non Discrimination Final Rule Could Pave Way For More Home Care
The HHS Office for Civil Rights and Centers for Medicare & Medicaid Services have issued [...] - Industry Notes:
Flagrant Hospice Fraud Scams Are Afoot, FBI Warns
The FBI is warning Houston residents about hospice scams, a local news outlet reports. The [...] - Industry Notes:
Chain Makes Utah Buy
The Pennant Group Inc. has acquired South Davis Home Health and South Davis Hospice in [...] - Industry Notes:
At Least One Area Will See Lighter Medical Review Load
The feds are scaling back CERT medical review a bit. The Centers for Medicare & [...]
