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 →
Category: Reimbursement
HH PPS Final Rule With PDGM Payment Reform Is Out
Retained behavioral adjustment provision ruins new model, trade group insists. Medicare issued its Home Health Prospective Payment System final rule on Halloween, and it contains some provisions scarier than any … Continue Reading →
Find Out Changes Medicare Made To MCReF System Based On User Feedback
Learn how to use the new Medicare Cost Report e-Filing (MCReF) system. The session will offer a detailed overview as well as changes made based on user feedback, the Centers for Medicare … Continue Reading →
Finance: New Cost Report Requirement For Chains Takes Effect In October
Don’t ignore it just because it’s in the hospital rule. Stay alert to a new cost reporting mandate included in the 2019 hospital inpatient payment rule, if you belong to … Continue Reading →
Industry Note: Keep An Eye Peeled For Your Cap Overpayment Notice
The arrival of September may also mean the arrival of your hospice cap repayment notice. Some hospices may have already received a liability statement, but “typically” Medicare Administrative Contractors will begin … Continue Reading →
Medical Review: Try These 5 Tips To TPE Success
Do you know the difference between your charge error rate and your claim error rate? Whether you want to avoid Targeted Probe & Educate review or get off TPE once … Continue Reading →
Billing: Know The Billing Ins And Outs For New Medicare Cards
What do you do when an MBI changes? Is it your patients’ turn to wade into the new Medicare card ocean? The Centers for Medicare & Medicaid Services has “started mailing new … Continue Reading →
Audits: Know Your Facts: Audit Contractors
TPE net reportedly catches lots of home care providers. Scrutiny of home health and hospice claims is on the rise, and you’d better know where that scrutiny may be coming … Continue Reading →
Compliance: Prepare For MACs To Monitor Your RAP Stats
Will you stick out like a sore thumb? You’d better rein in any sloppy RAP practices you’ve slid into, or you could get caught up in Medicare’s crackdown on Request … Continue Reading →
Finance: Medicare Pledges To ‘Better Align Hospice Payments With Costs’ In Final Rule
Shore up your cost reporting procedures ASAP. It remains unclear for now whether Medicare will take the route of major payment reform or not — and you can expect your … Continue Reading →