HHAs, pay attention. While Medicare’s proposal to rebalance hospice payment between care levels isn’t exactly a shock, it does underscore why providers — all providers — should complete their cost … Continue Reading →
Most agencies will want prepay review. The Review Choice Demonstration will be here in less than two months. Here’s what smart home health agencies will be prioritizing between now and then. 1. … Continue Reading →
Slowed cash flow poised to close more doors. The other shoe is finally dropping for the Review Choice Demonstration — and it may smash home health agencies in RCD states. … Continue Reading →
Medicare profit margin falls once again to 15.2 percent. On top of PDGM and its nearly 6.5 percent payment rate cut, the Medicare Payment Advisory Commission thinks your reimbursement should be slashed … Continue Reading →
More patients should be discharged home due to comparable outcomes, lower cost, editorial suggests. Home care providers often use their cost effectiveness and ability to prevent rehospitalizations as a selling point and argument for … Continue Reading →
Don’t forget about appeals. Home health agencies affected by Targeted Probe and Educate review, or those just wanting to stay off the TPE radar, should focus on the program’s top … Continue Reading →
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 →
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 →
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 →
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 →
