Expert: Crucial data missing from TPE report. One HHH Medicare Administrative Contractor’s TPE results report provides some valuable data that will help agencies navigate TPE medical review. For example: For the … Continue Reading →
Therapy visit medical necessity comes in second. Know what denials your claims may be most vulnerable to by perusing the top five denial reasons under the first six months of … Continue Reading →
Denial rates over 25% will keep you on TPE review at this MAC. The results from the first wave of Targeted Probe & Educate are rolling in, and they point … Continue Reading →
What you don’t know may hurt you. Failing to keep up to date on important cybersecurity issues can leave you wide open for a HIPAA breach. Keeping in sync with … Continue Reading →
PA changes disappoint. Medicare’s new instructions for drug and DME claims reporting may be less prescriptive than they first appear. In CR 10573, the Centers for Medicare & Medicaid Services sends Medicare … Continue Reading →
Plus: Rural add-on, QRP education, more. Perhaps due in part to the appearance of OASIS-D on the horizon, the Centers for Medicare & Medicaid Services plans to resume its quarterly issuance of … Continue Reading →
Just keep waiting on those CoP Interpretive Guidelines. Home health agency survey citations are racking up, and yet the Interpretive Guidelines for surveyors regarding the new Home Health Conditions of … Continue Reading →
Learn a valuable lesson from this $2.3 million HIPAA settlement. If you skimp on risk management or other HIPAA core duties, you may have to pay big when a breach … Continue Reading →
CMS is clear on PAs’ dos and don’ts under the new regs. You’ll still need to get a physician to certify a patient’s terminal illness and perform the face-to-face encounter, … Continue Reading →
IT CoPs for post-acute providers on agenda. Before you find yourself slapped with a set of regulatory mandates regarding electronic health records, you should take your chance to share your … Continue Reading →
