LUPAs thresholds to vary under PDGM. The home care industry may hate the idea, but CMS is pushing ahead with its proposal to phase out Requests for Anticipated Payment under … Continue Reading →
CMS listened to HHGM commenters and revised the case mix category methodology. The newly proposed payment reform model will increase payment for an episode when the claim contains certain secondary … Continue Reading →
New PDGM is HHGM with a few tweaks. If you didn’t like Medicare’s ideas on home health payment reform last year, you’re probably not going to be happy with its … Continue Reading →
For once, HHAs have no rebasing or case mix creep cuts to contend with. For the first time in nearly a decade, Medicare is proposing to increase home health agencies’ … Continue Reading →
You should be paying for insulin, beta blockers, and more, CMS instructs. Data revealed in the latest hospice payment proposed rule may indicate more medication payment crackdowns for hospices — … Continue Reading →
LOS ticks upward. You have only a matter of days left to give Medicare your two cents on its proposed rule for hospice payment for next year. Consider these 2017 … Continue Reading →
GAO wants Pre-Claim Review to resume. Medicare is revealing more details about its resurrected Pre-Claim Review demonstration project, which it’s now calling the “Review Choice Demonstration.” But many specifics remain … Continue Reading →
Keep long-term impact of expanded Level 1 edits in mind, experts urge. Chances are you need to shore up your cost reporting practices to avoid failing newly announced Level … Continue Reading →
Don’t write down next year’s budget in pen yet. Depending on whether you see the glass half full or half empty, Medicare’s modest pay increase proposal for next year is … Continue Reading →
Postpayment review limits your documentation improvement options. Don’t expect the changes in the Pre-Claim Review program to significantly ease the program’s burden. Many problems continue to accompany the proposed demonstration … Continue Reading →
