Highest-paying clinical groups see utilization drops under PDGM, Medicare data shows. Policy- and lawmakers are going to be making big decisions about home health reimbursement based on newly emerging Patient-Driven Groupings Model data — and some of that data is [...]
About $150 million less will make it into HHAs’ coffers than proposed. The scores of comments on the home health payment rule for 2021 fell mostly on deaf ears, the newly released final rule shows. The Centers for Medicare & [...]
Productivity adjustment chips away at inflation update. A calm home health annual payment rule for 2021 is very welcome in this turbulent year, but the new regulation still has problems. The Centers for Medicare & Medicaid Services released its 2021 [...]
PDGM to create winners and losers. A payment rate increase that would usually draw praise is getting largely ignored as home health agencies try to figure out what their finances will look like in 2020 under the Patient-Driven Groupings Model. [...]
Plus: OCR now handing out fines for not having breach policies. The HHS Office of Inspector General (OIG) is slamming the HHS Office for Civil Rights (OCR) for OCR’s apparently lax approach toward audits of HIPAA Security Rule compliance — [...]
Long-term care hospitals could be big winners.Medicare payments to long-term care hospitals will increase 3.1 percent, or $2.96 billion, under a final rule in the May 7 Federal Register.This is better than expected. Those figures are an increase from the [...]
How can you code for optimal reimbursement if the surgeon sees a patient in the emergency department (ED) and subsequently admits him as an inpatient? Although general coding principles prohibit reporting two E/M services on the same date, you can [...]
