Home Health & Hospice Week
DON'T MISS DETAILS OF ROUND-TWO WHEELCHAIR CODE REVISIONS
The Centers for Medicare & Medicaid Services may have more technical errors to weed out when it comes to the agency's new fee schedule for power mobility devices.
That's the conclusion of some suppliers in reviewing the second round of refinements to the new fee schedule. CMS issued the latest changes Dec. 12.
Payment for almost all power mobility device codes was increased, reports the National Association for Home Care & Hospice. The biggest increase in payment came in the Group 2 heavy-duty power wheelchair rate for persons weighing up to 600 pounds. That payment rate rose by $1,147.
Boost your payments: Suppliers should resubmit claims for any devices that are affected by the round-two revisions, says CMS.
The new fee schedule amounts, originally issued Oct. 2, are effective for claims with dates of service on or after Nov. 15, 2006.
In addition, CMS recently published a list of HCPCS code assignments for individual power-operated vehicles and power wheelchairs on its Statistical Analysis Durable Medical Equipment Regional Carrier (SADMERC) Web site. The list includes all HCPCS codes for power mobility devices that were submitted to the SADMERC by Nov. 15, 2006.
Also available on the SADMERC Web site are revisions to the definitions of multiple power options power wheelchairs (K0841-K0843, K0861-K0864, K0884-K0886, and K0891) that went into effect Nov. 15.
Note this change: The current definitions say that the codes include an "expandable controller." The revised definitions specify that a "non-expandable controller is standard but can be upgraded to an expandable controller."
Don't overlook: A new code, E2377, has been established for claims with dates of service on or after Jan. 1, 2007.
Other details about recent Medicare changes to payment for power mobility devices are at the SADMERC Web site at www.palmettogba.com/palmetto.
Home Health & Hospice Week
- Pay For Performance:
P4P DEMO MAY BRING EXTRA REIMBURSEMENT TO HOME CARE
Demo funding drawn from reduced hospital, ER use.
Home health agencies got some good news and [...] - PROPOSED P4P DEMONSTRATION MEASURES AND THEIR WEIGHTS
Incidence of Acute Care Hospitalization (25%)
Incidence of Any Emergent Care (15%)
Improvement in Bathing (10%)
Improvement in [...] - Quality:
HHAs PROTEST HOSPITAL, RE MEASURES FOR P4P DEMO
Ambulation measure problematic too.
The new pay for performance demonstration is likely to reward providers most [...] - Competitive Bidding:
COMPETITIVE BIDDING MAY BE CLOSER THAN YOU THINK
There's no final rule--but no time to waste.
If your wares include durable medical equipment, prosthetics, [...] - Competitive Bidding:
SURVIVE AND THRIVE WITH THESE 3 VITAL BIDDING STEPS
Knowledge will be power.
Competitive bidding is at your doorstep, so be sure you've covered these [...] - Therapy:
THINK TWICE ABOUT BILLING INFRARED THERAPY TREATMENTS
CMS says no to this modality.
If you furnish provide infrared therapy, beware.
You may be one [...] - OASIS:
3 SIMPLE WAYS TO IMPROVE OASIS ACCURACY
When assessing, try replacing 'tell me' with 'show me.'
Watch out: Transmitting flawed OASIS assessments can [...] - Power Mobility:
DON'T MISS DETAILS OF ROUND-TWO WHEELCHAIR CODE REVISIONS
Feds redefine some items.
The Centers for Medicare & Medicaid Services may have more technical errors [...] - Diagnosis Coding:
CODE MUSCLE WEAKNESS RIGHT TO KEEP REIMBURSEMENT STRONG
Tip: Focus on multiple aspects of an underlying disease.
Learning when to report 728.87 for muscle [...] - Gauge Your Past Performance and Steer Your Agency Higher
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CONGRESS EXTENDS THERAPY CAP EXCEPTIONS
Last-minute legislation also addresses recovery audits, wage index, respite care.
Home health agencies that furnish outpatient [...]
