Multiple hospice program integrity measures feature in HH rule this year. It’s yet another year where hospices need to pay close attention to the proposed home health payment rule. Why? The Centers for Medicare & Medicaid Services includes significant hospice [...]
2 agencies pay millions in back wages and damages. Wage and hour-based cases continue to stack up against home care providers. January case #1: A federal judge has ordered TriMED HealthCare LLC and its owner Beverly Jordan to pay more [...]
Breathe a bit more freely with CMS’ acknowledgment of COVID’s impact on providers. The Centers for Medicare & Medicaid Services (CMS) has provided an update on the Merit-Based Incentive Payment System (MIPS), acknowledging the impact COVID has had on healthcare [...]
CMS plans a slow rollout for MVPs. If last year’s finalized overhaul of the Merit-Based Incentive Payment System (MIPS) made you look sideways at the feds, you’re not alone. However, Medicare appreciates COVID’s impact on healthcare and is instead opting [...]
Expect a slow rollout on MVPs. Due to a sweeping overhaul of the Merit-Based Incentive Payment System (MIPS) finalized in last year’s fee schedule, many worried that related policy shifts would be drastic. However, Medicare appreciates COVID’s impact on healthcare [...]
Pro tip: Calling a payment to a physician a ‘copay’ doesn’t mean it’s not a kickback. Hunting health care fraud is big business for the feds, and the latest annual Health Care Fraud and Abuse Control Program Report shows why [...]
CMS wants to hear from you on wage index woes. Home health agencies will see an additional $250 million in Medicare payments next year — as long as punishing behavioral adjustment cuts don’t get in the way. The Centers for [...]
Get to know how these new CMS proposed rules might affect your practice. Fee schedule changes to most evaluation and management (E/M) services have been relatively safe from CMS intervention over the past few years. As for 2019, however, it’s [...]
Hint: Proposal causes one pulmonary practice in our sample to lose $93,000 in one year. Pulmonology practices have been able to rest easy during the past few years’ worth of fee schedule changes, but this year may have thrown a [...]
Use the final rule for compliance clues. You may be frustrated that you have to wait until December for the final Interpretive Guidelines for the new home health Conditions of Participation, but don’t let that hamper your CoP readiness efforts. [...]
