New Hospice Compare Measure Debuts This Month
Plus: New preview reports will be here soon. Will you be thankful for the new measure Medicare has added to its Hospice Compare website? If you’ve checked out the new … Continue Reading →
Month: November 2018
Patient-Driven Groupings Model: PDGM’s New Admission Source Factor Could Bust — Or Boost — Your Reimbursement
Source of admission might add thousands of dollars to your episode. Whether you sink or swim under the new payment reform model taking effect in January 2020 may depend on … Continue Reading →
Be Ready To Pounce On Institutional Billing Details
Pointer: Start checking HETS reports for hospital billing ASAP. Not only does the new case mix factor on institutional versus community admission source complicate reimbursement levels, it also complicates the billing … Continue Reading →
Medicare Includes Hospice In Its Regulatory Relief Proposals
Proposal aims to eliminate requirements related to aides, medication management, and facility staff training. While any lightening of hospices’ regulatory load is good news, Medicare’s latest plan to cut red tape … Continue Reading →
Medicare Cost Report: What is it?
All Medicare certified institutional providers are required file an annual cost report to their respective Medicare Administrative Contract (“MAC”). But what is a Medicare cost report and what is the … Continue Reading →
Regulations: Ready Or Not, 30-Day Billing Periods Are On The Way
Medicare officials claim switch won’t increase burden. It’s no surprise that the Patient-Driven Groupings Model will implement 30-day billing periods, since the change was required by law this year. But that won’t make … Continue Reading →
Billing: PPS Rule Finalizes First Step Of RAP Elimination
New HHAs no longer will receive RAP payments under PDGM. Despite many strident industry comments opposing the elimination of Requests for Anticipated Payments, Medicare has started down that path anyway. … Continue Reading →
Reimbursement: CMS Hangs Onto Behavioral Assumption Adjustment Cuts, Despite Industry Outcry
Industry needs Congress’ help. While the Patient-Driven Groupings Model is supposed to be a budget-neutral reform to how Medicare pays home health agencies, in realityproviders will see a big cut in transitioning … Continue Reading →
2019 Rate Increase Largest In More Than A Decade
Plus: Outlier formula tweak will make them a little easier to obtain. Not surprisingly, home health agencies are consumed with the details of the payment reform model included in the … Continue Reading →
Hospice Cap Season Begins
With the 2018 hospice cap reporting year ended as of Sept. 30, now’s the time for hospice providers to deal with the consequences. Item #1: Hospices must report their cap level and … Continue Reading →