Symptom assessment, CAHPS topics may be up next. While it’s not yet a done deal, recently released hospice quality measures may give providers an idea of what’s to come. The Centers for Medicare & Medicaid Services has issued its 2023 [...]
Hint: Value-based care is the centerpiece of the proposal. If you’ve been on the edge of your proverbial seat since the feds issued an RFI on Stark, then you can sit back and relax. In a new proposed rule, CMS [...]
State plans to tighten background checks. Members of the home health industry know there are fraud hot spots around the country, most notably evidenced by the existing moratoria areas and the HHS Office of Inspector General Medicare Fraud Strike Force [...]
Don’t confuse this winter with next winter. You’ve got until June 30 to review your Hospice Compare preview report and request review if you think it isn’t accurate. The Centers for Medicare & Medicaid Services ran the Hospice Provider Preview [...]
You’ve got until June 30 to review your Hospice Compare preview report and request review if you think it isn’t accurate. The Centers for Medicare & Medicaid Services ran the Hospice Provider Preview Reports June 1 and hospices have 30 [...]
Denials from Palmetto just keep on coming. One HHH Medicare Administrative Contractor has released results from medical review of thousands of more claims, and therapy continues to feature as a major denial reason. Review: From May 16 through 18, Palmetto [...]
Patients’ testing requirement will rely heavily on treatment goals. If you haven’t been paying much attention to Palmetto GBA’s LCD on diabetes testing, you could pay a big price. Home health agencies and industry reps haven’t reported many denials based [...]
Question: What are the proper codes for this encounter? The diagnosis is malignant pleural mesothelioma. o 10:04-10:14 p.m., Alimta, 960 mg o 10:45 a.m.-12:45 p.m., CDDP, 144 mg New Mexico Subscriber Answer: This case includes a 10-minute push of [...]
Question: What are the proper codes for this encounter? The diagnosis is malignant pleural mesothelioma. 10:04-10:14 p.m., Alimta, 960 mg 10:45 a.m.-12:45 p.m., CDDP, 144 mg New Mexico Subscriber Answer: This case includes a 10-minute push of Alimta (pemetrexed) and [...]
Question: What are the proper codes for this encounter? The diagnosis is malignant pleural mesothelioma.10:04-10:14 p.m., Alimta, 960 mg10:45 a.m.-12:45 p.m., CDDP, 144 mgNew Mexico SubscriberAnswer: This case includes a 10-minute push of Alimta (pemetrexed) and a two-hour infusion of [...]
