Don’t stop at base rate when calculating rule’s impact on your pay next year. The 2.2 percent rate cut is the reimbursement news catching most home health agencies’ eyes first, but there are a number of other important payment-related provisions [...]
CMS says it will consider ‘empirical evidence,’ according to rule. Medicare dropped a reimbursement cut bomb on home health agencies in its newly released 2023 proposed payment rule, and agencies will need to counteract it with artillery of their own [...]
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 [...]
Participation level for VBID model still unknown. Medicare has revealed more details about payment for the Medicare Advantage hospice carve-in program. Recap: The Centers for Medicare & Medicaid Services’ hospice carve-in plan under the Value-Based Insurance Design model will include [...]
Medicare has shared more details about payment for the Medicare Advantage hospice carve-in program. Recap: The Centers for Medicare & Medi-caid Services’ hospice carve-in plan under the Value-Based Insurance Design model will include hospice and related services starting in 2021. [...]
Hint: Suggested E/M documentation changes could balance shortcomings. If a hefty portion of your Part B take-home pay is tied to E/M office visits, you may want to review recent Medicare proposals. However, depending on your specialty and the number [...]
Hint: Suggested E/M documentation changes could balance shortcomings. If a big part of your Medicare pay is tied to evaluation and management (E/M) office visits, you may be concerned about recent proposals from CMS. But depending on your specialty and [...]
Hint: Proposal would cause one practice in our sampling to lose $25,000 in a year. If your practice often complains about the limitations that the 1995 and 1997 E/M guidelines place on E/M coding, CMS may have delivered a gift [...]
Copays should be a component of the unified payment system, report suggests. As home health agencies are waiting to see what Medicare has in store for them in the 2018 Home Health Prospective Payment System proposed rule expected any day, [...]
Question: A 45-year-old patient is admitted with a diagnosis of pleural effusion. The patient is also found to be anemic. Which DRG should he be assigned? Texas Subscriber Answer: Pleural effusion falls under the major diagnostic category MDC 04 (Diseases and disorders [...]
