Home Health & Hospice Week
Hold Your Payors Accountable
If your private payors consistently lag on paying claims and fail to meet prompt pay law requirements, in most cases, you are due interest. New York, for example, pays interest at the greater of 12 percent per year or the state's corporate tax rate, according to the state's website. In Illinois, insurers must pay interest at the rate of 9 percent per year, the Illinois state website indicates. Good practice: You can fight back against insurance companies that are continually late in processing your claims with these three steps: 1. Prove your own timely filing. Send a printed copy of your electronic proof of timely filing. Most billing software programs can print out an electronic confirmation from the insurer saying it received the claim, including the date of receipt. This is an excellent form of proof that the payer received your claim and when. 2. Compose and send a letter stating the payer is violating prompt payment laws. Consider threatening legal action if you don't receive payment. 3. Contact your state's insurance department. If a payer is consistently slow in paying your claims, take the problem to an authoritative body. Tip: Most states employ consumer hotline numbers so you can contact the insurance department directly if you want to dispute whether your claim was paid on time. You should contact your insurance department if you feel your claim was not paid in a timely manner. Watch out: You'll most likely need to prove that you had "clean claims." Prompt pay law deadlines generally apply only to clean claims.
Home Health & Hospice Week
- Regulations:
Don't Waste Your Face To Face Encounter Delay Time
Just because CMS postponed enforcement doesn't mean you get a 3-month free pass. Working the [...] - Compliance:
FFE FAQs Contain Good News
New guidance from Medicare sheds light on thorny face to face encounter issues. Your Medicare [...] - Managed Care:
Overcome Delinquent Payor Headaches By Knowing Your State's Prompt Pay Laws
Remember: Medicare requires contractors to pay your clean claims within 30 days, but private payers [...] - Managed Care:
Hold Your Payors Accountable
If your private payors consistently lag on paying claims and fail to meet prompt pay [...] - Fraud & Abuse:
OIG Focuses On Payment Errors, Missing Doc NPIs
Watchdog agency's semiannual report to Congress highlights target areas. Wondering whether the OIG collects on [...] - Industry Notes:
Your PS&R Clock May Be About To Run Out
Don't let PS&R registration delays doom your cost report. If your fiscal year just ended [...] - Industry Notes:
Home Care Spending Grows 10%, New Spending Report Shows
General health care spending may have slowed in 2009, but home care spending did just [...] - Industry Notes:
Beware New Payment Glitches
Claims system changes have given rise to payment problems in the new year. "Home health [...] - Industry Notes:
Help Hospitals With Readmissions For P4P
Hospitals soon may have extra incentive to line up home care services for their discharged [...] - Industry Notes:
Doc Claim Edits May Help Your PECOS Edit Efforts
Physicians may not be paving the way for your PECOS edits that start in July, [...] - Industry Notes:
Cross These Items Off Your Hospice To-Do List
Hospices have two less things to worry about, thanks to Palmetto GBA's question and answer [...] - Industry Notes:
Home Care Can Help Medicaid Cut Costs
Home care providers' Medicaid business is looking grim, thanks to states' efforts to cut their [...] - Industry Notes:
New NHIC Hospice Job Aids Target Elections, Revocations
Need help understanding your duties with hospice notices of election and revocation? Home health MAC [...] - Industry Notes:
Hospice Use Grows For Dementia SNF Patients
A growing number of nursing home residents with dementia are tapping the hospice benefit, but [...] - Reader Question:
Are Overpayments Putting Your Agency At Risk?
Do you have patients that pay copays? Keep close track or risk False Claims Act [...]
