Slim 0.7% pay increase isn’t enough, industry reps insist. Apparently, hundreds of home health agencies and their representatives are wrong. At least Medicare officials think so, according to the newly released home health final rule for 2023. Proposed: Back in [...]
CMS rule a ‘gut punch,’ one industry veteran judges. If you think the Centers for Medicare & Medicaid Services has been more reasonable since COVID-19 hit, you may rethink that opinion following the issuance of the 2023 proposed rule for [...]
Expect the holiday crunch to crank up to ‘11’ this year, with OASIS-E and VBP debuting simultaneously Jan. 1. New OASIS-E information released by Medicare underscores how much extra work will be dumped on home health agencies’ plates in about [...]
Don't be surprised if you get some pointed billing questions from your patients. The HHS Office of Inspector General's Senior Medicare Patrol projects educated 1.5 million seniors on how to detect and report potential Medicare fraud last year, according to [...]
Don’t be surprised if you get some pointed billing questions from your patients. The HHS Office of Inspector General’s Senior Medicare Patrol projects educated 1.5 million seniors on how to detect and report potential Medicare fraud last year, according to [...]
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 [...]
Plus: Another breach prompts you to get a BA’s signature before providing access to PHI. If the latest big breach case tells you anything, you should see that breaches are increasingly leading to compliance investigations — and that means more [...]
One MAC maintains nearly a 100 percent denial rate. The face-to-face physician encounter rules that took effect last year are plaguing both physicians and home health agencies, and a recent audit reveals that most practitioners aren’t up to speed with [...]
One MAC’s rate is a staggering 97 percent. Your reimbursement may be doomed under face-to-face physician encounter rules that took effect last year, even when you know the ropes. The proof: In the Probe & Educate medical review initiative Medicare [...]
Get ready for new options later this year. When your lab performs a screening drug test, you can’t expect to get the same diagnosis code every time. Instead, the reasons clinicians order a drug screen are as varied as the [...]
