Eli's Hospice Insider
Hospices Hope For RHC Rate Resolution
Will Medicare’s latest claims system update finally clear up problems related to Routine Home Care high/low payments? Hospices aren’t holding their breath. Hospices have been wrestling with RHC payments being incorrectly adjusted for high (first 60 days) and low (over 60 days) factors since the dual-level payments began in January 2016. While many of the payment glitches have been resolved over the past three years, others remain. For example: “Some hospice adjustments continue to process with incorrect two tier (high/low) payment rates for Routine Home Care services,” HHH Medicare Administrative Contractor CGS said on its claims processing issues webpage Feb. 5. “A resolution will be implemented on 3/4/2019,” the MAC said.
Eli's Hospice Insider
- Lawsuits:
Lawsuit Over Cap Calculations Appears Headed To Federal Court
As expected, PRRB sides with CMS over including sequestered funds in cap methodology. Hospices might [...] - Per Beneficiary Cap:
Medicare Presents A Convincing Argument On Cap Math
Without sequestered funds in calculation, over-cap hospices aren’t penalized by reduction, Medicare argues. Hospice proponents [...] - Compliance:
Beware These Immediate Jeopardy Survey Changes That Could Impact You
Should you worry more about IJ determinations under new regs? Hospices aren’t singled out in [...] - Survey & Certification:
Stay On Top Of These 6 Immediate Jeopardy Manual Changes
Make sure you steer clear of the most serious survey risk. Whether your next survey [...] - Billing:
MBI Change Gives Rise To Sequential Billing Errors
Plus: Use zeroes to become an MBI hero. Now that all existing Medicare beneficiaries have [...] - Hospice News:
Who Benefits From Bundling Demonstrations? It Varies By Demo Type, OIG Says
Providers should hope for more voluntary bundling tests. How likely is mandatory bundling in your [...] - Hospice News:
GIP Under Yet Another Microscope
Hospices can thank the HHS Office of Inspector General for new scrutiny on high-paying claims. [...] - Hospice News:
Hospices Hope For RHC Rate Resolution
Will Medicare’s latest claims system update finally clear up problems related to Routine Home Care [...] - Hospice News:
Compare Data Updated In February
Take a look at your most updated Hospice Compare data, which is now up on [...] - Hospice News:
HQRP Info Is At Your Fingertips
If the holiday rush kept you from tuning in to Medicare’s training webinar on hospice [...] - Hospice News:
National Chain Builds Its Hospice Business
Amedisys Inc. has agreed to purchase RoseRock Healthcare, a hospice in Tulsa, Oklahoma, the Baton [...] - Hospice News:
Hospices Open Inpatient Units In Busy Markets
The number of hospice inpatient facilities is increasing. In Texas: Hospice of Wichita Falls will [...]
