Home Health & Hospice Week
Don't Risk Your Compliance -- Or Your Reimbursement -- With Too-Early Hospice Certification
Know your cert timelines to avoid problems.
Question: I know we have until two days after admission to obtain either a written certification from the physician or an oral certification. But can we get a cert early?
Answer: Yes, but not too early. "You cannot get a certification or recertification more than 15 days prior to the start of the benefit period," said hospice expert Charlene Ross in a recent Eli-sponsored audioconference. "Be really careful on how far out your dates are, because it must be within … 15 days prior to the start of the benefit period," Ross emphasized in the program, "Hospice Eligibility and Certification — the Continuing Saga."
Resource: You can order a recording of the audioconference at www.audioeducator.com/hospice/regulatory-requirements-certification-recertification.html.
Home Health & Hospice Week
- Compliance:
Medicare Cracks Down On F2F Documentation
The other shoe has dropped for this burdensome regulatory requirement. You can watch your Medicare [...] - Regulations:
Under Increasing Scrutiny, Avoid These F2F Pitfalls
Does your docs’ F2F documentation include an explanation of clinical findings? Medical reviewers are poring [...] - Medical Review:
Use These 7 Tips To Head Off F2F Denials
Tip: If you have to appeal, use the physician’s visit note for support. With medical [...] - Reimbursement:
MAC Fails To Dock Hospitals For Post-Acute Transfers To Home Health
One Medicare contractor is on the hook for paying hospitals millions in error for patients [...] - Industry Note:
MAC Denies Nearly One-Third Of Claims In Hospice Review
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Add This Requirement July 1
Don’t be surprised if your Medicare Ad-vantage managed care payers ask you to start putting [...] - Industry Note:
CMS Implements New Overpayment Rule
CMS has found a clever way to ensure that you repay money that the program [...] - Industry Note:
Use New MAC Resource For Billing Training
Need to brush up on home health billing basics? Or perhaps you’re looking for a [...] - Industry Note:
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Give yourself fewer physician signatures to collect by organizing your plan of care correctly. Physicians [...] - Industry Note:
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Texas home health agencies are squarely under the feds’ microscope. An OIG report last fall [...] - Industry Note:
Staffer Embezzles $840K From Home Health Agency
Home health agencies have another cautionary tale about unchecked employees, this time from the state [...] - Industry Note:
Hospice Owes Medicare $112 Million, Govt Says
The government has filed its claim in the high-profile bankruptcy case of San Diego Hospice. [...] - Reader Question:
Don't Risk Your Compliance -- Or Your Reimbursement -- With Too-Early Hospice Certification
Know your cert timelines to avoid problems. Question: I know we have until two days [...]
