Value-Based Purchasing rules may alter how acquisitions go down. Medicare is getting to training in earnest for the Expanded Home Health Value-Based Purchasing Model, dropping four new VBP resources plus new OASIS-E materials. In recent days, the Centers for Medicare [...]
Highest profit margin in nearly a decade may contribute to cut recommendation. The Medicare Payment Advisory Commission bases its home health cut recommendation on these pre-PDGM, pre-COVID data points this year. Will lawmakers do the same? The number of home [...]
HHA profit margin in 15% range for fifth year in a row. Despite the fact that key indicators continue to decline for home health agencies, Medicare Payment Advisory Com-mission members indicated they will recommend a 5 percent payment reduction to [...]
Plan your post-pandemic compliance accordingly. If your Part B practice is struggling under the yoke of COVID-19, there’s good news. The feds have eased up on some Stark Law requirements with 18 blanket waivers that address remuneration and self-referrals. Review [...]
Tip: Plan ahead for your post-COVID-19 compliance transition. During the best of times, many find keeping compliant with fraud and abuse regulations and all their nuances challenging. In the midst of the COVID-19 crisis, the feds have lifted some sanctions [...]
Home care providers running into Stark Law barriers when crafting retirement plans for ESOP agencies will get some relief from a new proposed rule. On Oct. 9, the Centers for Medicare & Medicaid Services released the rule, “Modernizing and Clarifying [...]
Prepare for MIPS and APMs. Fee for service is on the way out, and the Merit Based Incentive Program System (MIPS) is the wave of the future for Medicare pay. MIPS comes compliments of the Medicare Access and CHIP Reauthorization [...]
Ophthalmology Providers in WV, NJ Logged High Error Rates OIG report shines spotlight on questionable billing for wet AMD, cataract surgery. Most practices are aware of the fact that the OIG looks for questionable billing trends, and the agency’s recent [...]
OIG advise CMS to closely monitor ophthalmology claims. The HHS Office of the Inspector-General (OIG) recently performed a study on the billing trends of ophthalmology practices. The findings should make you sit up and take notice, especially if yours is [...]
OIG report shines spotlight on questionable billing for wet AMD, cataract surgery. Most practices are aware of the fact that the OIG looks for questionable billing trends, and the agency’s recent review of ophthalmology services was no different—in fact, the [...]
