Home Health & Hospice Week
More Targeted Probe And Educate Targets For Hospice Coming Down The Pike
The annual Comprehensive Error Rate Testing report may affect you more than you’d expect. Reminder: The CERT results report released Nov. 30, 2018 showed that the Medicare payment error rate for hospices actually dropped 3 points to 11.7 percent in the latest period (see Eli’s HCW, Vol. XXVII, No. 44). But it also revealed that hospital based hospices had the highest claims error rate of all provider types listed at 27.3 percent. Nonhospital based hospices had the fifth-highest rate out of 11 provider types at 15.7 percent. The upshot will be more Targeted Probe and Educate review for hospices, it appears. In a question-and-answer set based on Palmetto GBA’s Oct. 4 Hospice Coalition meeting, the HHH Medicare Administrative Contractor says “we are planning some edits for later this calendar year due to CERT error rates increasing. We have several topics we are tracking at this point that are areas of concern.” Palmetto lists neurological disorders, live discharge rates, and increasing non-cancer length of stay (NCLOS) rates as examples of TPE targets. The Q&As are online at www.palmettogba.com/palmetto/providers.nsf/DocsCat/JM-Home-Health-and-Hospice~B6YP341300.
Home Health & Hospice Week
- Patient Driven Groupings Model:
Take These 10 Steps To Prepare For PDGM Before It Rocks Your World
Don’t let paradigm-shifting payment reform put you at risk next year. A year from now, [...] - Education:
Use These Resources To Become A PDGM Expert
There’s a wealth of information at your fingertips — for free. Make sure you are [...] - OASIS:
Avoid Dashes With This OASIS Coding Tip
Clear up early days confusion between dashes and Code 8. Medicare makes clear in the [...] - Human Resources:
How Employee Grief Policies Can Help Your Agency
Prepare staff to deal with death in the workplace. Just because you work in a [...] - Hospice:
Use This MAC's Tips To Get NOTRs Right
Learn the ropes of the new process for fixing erroneous notices. The many changes that [...] - Industry Note:
DOL Offers Aide Compensation Guidance
Feds address travel time issue. If you don’t want to risk a punishing lawsuit from [...] - Industry Note:
Mind Cap Deadline
If you don’t submit your self-determined hospice cap report to CGS by the Feb. 28 [...] - Industry Note:
More Targeted Probe And Educate Targets For Hospice Coming Down The Pike
The annual Comprehensive Error Rate Testing report may affect you more than you’d expect. Reminder: [...] - Industry Note:
New State Audit Report Implies Upcoding In Eligibility Scoring
Missouri lawmakers are planning to make changes to the eligibility criteria for Medicaid home care [...] - Industry Note:
Busy Acquisition Year Makes Encompass 4th Largest Skilled Home Care Provider
Encompass Health, formerly Health-South, plans to continue its growth strategy in the coming year. So [...] - Industry Note:
Health System Buy Puts Regional Chain Into 16 States
Dallas-based AccentCare Inc. has acquired Steward Home Care and Hospice from Steward Health System, which [...] - Industry Note:
Massive Claims Correction Burden Related To New CoPs Looms, Trade Group Warns
A potential huge claims headache has home health agencies scrambling. The new HH Conditions of [...]
