Healthcare giant plans to pay $400 million for Brookdale hospice, home health unit. Brookdale Senior Living Inc. has announced it plans to sell a majority stake of its hospice and home health business to HCA Healthcare. Nashville-based HCA operates 185 [...]
Senior living company expects ‘steep’ growth for majority-HCA-owned business. If COVID has been rough for home health and hospice operators, it’s been a downright nightmare for senior living companies. That is presumably one factor in Brookdale Senior Living Inc. deciding [...]
Highest-ranking states may surprise you. Medicare’s payment error rate for hospices and home health agencies together varies widely from state to state, shows the latest Medicare payment error report. Among the many figures included in the report is a state-by-state [...]
High claims volume doesn’t necessarily translate to high error rates. Wondering where the feds might choose to crack down next with stepped up claims review or more intense fraud and abuse-fighting activity? Stats included in the latest Medicare payment error [...]
Do HHAs stand a chance against PDGM? The home health industry has bombarded Medicare with comments on the proposed payment rule for next year. The comment period for the Home Health Prospective Payment System proposal, which contained the very controversial [...]
Question: A patient had an office visit (99213) with a 185 diagnosis on Aug. 17. The next day, Aug. 18, my doctor did an inpatient procedure (55866), which has a 90-day global period, with the same diagnosis. Medicare denied the office [...]
Question: During radiological assessment in a patient with prostate cancer, our physician noted bone metastasis. How can we report this diagnosis? Answer: You report diagnosis codes for the metastasis as well as the primary tumor. In the description provided here, when you [...]
Question: A patient had an office visit (99213) with a 185 diagnosis on Feb. 17. The next day, Feb. 18, my doctor did an inpatient procedure (55866), which has a 90-day global period, with the same diagnosis. Medicare denied the [...]
Question: A patient had an office visit (99213) with a 185 diagnosis on Feb. 17. The next day, Feb. 18, my doctor did an inpatient procedure (55866), which has a 90-day global period, with the same diagnosis. Medicare denied the [...]
Question: In an elderly patient, who showed signs of bone metastasis, our physician wants to avoid a prostate biopsy. The patient has very high PS levels which are indicative of prostate cancer. Our physician has chosen Lupron as the next plan [...]
