Question: I’ve read several articles about researchers analyzing eye scans with AI to detect heart disease, diabetes, strokes, and high blood pressure. Are researchers using AI and eye scans to detect other conditions, as well? Florida Subscriber Answer: Researchers are exploring the [...]
VBP will strip $3 billion from Medicare spending, CMS estimates. If you’re located in one of the 41 non-Home Health Value-Based Purchasing states, you’ve got a steep learning curve ahead of you in the rest of 2021, because the program [...]
PDGM to create winners and losers. A payment rate increase that would usually draw praise is getting largely ignored as home health agencies try to figure out what their finances will look like in 2020 under the Patient-Driven Groupings Model. [...]
CMS wants to hear from you on wage index woes. Home health agencies will see an additional $250 million in Medicare payments next year — as long as punishing behavioral adjustment cuts don’t get in the way. The Centers for [...]
Thirty-day billing period base rate 55.6 percent of 60-day rate. It soon will be time for the rubber to hit the road when it comes to the Patient-Driven Groupings Model. Does your agency have what it takes under the hood [...]
But Medicare’s improper pay rate for hospices has fallen significantly. Hospices looking for relief from regulatory and medical review burdens may have a good argument, thanks to new payment error figures. In a new Comprehensive Error Rate Testing report released [...]
Bad news: Hospices had the highest rate of erroneous claims. The heavy hand that the feds have been taking with hospice scrutiny and enforcement may not be so necessary, new payment error figures suggest. In a new Comprehensive Error Rate [...]
Source of admission might add thousands of dollars to your episode. Whether you sink or swim under the new payment reform model taking effect in January 2020 may depend on your referral sources. Why? The Patient-Driven Groupings Model, newly finalized [...]
Plus: Outlier formula tweak will make them a little easier to obtain. Not surprisingly, home health agencies are consumed with the details of the payment reform model included in the 2019 Home Health Prospective Payment System Final Rule. But that [...]
Home health agencies might be getting some vital Targeted Probe & Educate info from HHH Medicare Administrative Contractor CGS (see story, p. 154), but hospices are going to have to wait a while longer. "Currently not enough Hospice providers have [...]
