The hospice industry continues to get a shellacking in the mainstream press. For example: An editorial in Politico titled “Hospice Care Has a Big Problem” highlights a recent “call to action” published in the Journal of Palliative Medicine, in which [...]
GAO continues to study long-term impact of Medicare waivers. Navigating the pandemic highs and lows has been a critical challenge for many Medicare providers. If you are trying to plan ahead or just stay on top of the ever-changing healthcare [...]
Tip: Ensure BAs have a handle on compliance. If you were just starting to get back into a groove at your practice, you may want to add HIPAA compliance to your staff training to-do list. The HHS Office for Civil [...]
Keep long-term impact of expanded Level 1 edits in mind, experts urge. Chances are you need to shore up your cost reporting practices to avoid failing newly announced Level 1 edits. So indicates the Centers for Medicare & Medicaid Services' [...]
Line 3 Employee Benefits - missing from 13.80% of reports in 2016 (385 reports) Line 4 Administrative & General - missing from 0.29% of reports (8) Line 5 Plant Operations and Maintenance - missing from 45.16% of reports (1,260) Line [...]
Question: If a Medicare Part A resident is admitted to my facility for fewer than five days and receives therapy for the duration of her stay, could she be assessed and qualify for a RH RUG rate? – Pennsylvania subscriber [...]
Question: How would you code this chart? We have some concerns about who provided/performed each of the procedures mentioned in the documentation. Louisiana Subscriber Patient is a 13-year-old male who presents to the emergency department with a chief complaint of an [...]
Learn how the point ranges will change to earn each star rating. It seems like the Centers for Medicare & Medicaid Services (CMS) has gone crazy for quality data, and now you have a whole set of new quality measures [...]
Beneficiaries of home healthcare could soon face access issues. The Centers for Medicare & Medicaid Services (CMS) wants you to provide service even while awaiting MAC’s decision on Request for Anticipated Payment (RAP). The agency has decided to ignore forceful [...]
First state hit with start date as early as Aug. 1. Despite vociferous protests across the board, CMS has done what some thought was unthinkable — set up an implementation plan for its home health prior authorization demonstration. And the [...]
