Billing: Make Sure You’re Ready For New Medicare Cards
Heed this advice on how to handle the MBI. If you use a common trick to get your patients’ correct HICN for billing, that option is going away. The Centers for … Continue Reading →
Legislation: Civil, Criminal Penalties Will Cost You More Thanks To Recent Law
Do you know the increases? The Bipartisan Budget Act of 2018 changed more than just reimbursement. Get to know the substantial civil and criminal penalty updates for things as minor … Continue Reading →
Medical Review: Boosting Your Billing Accuracy With TPE Education Could Help Avoid More Punishing Review
Don’t wait until the round is over to implement improvements. Seeing the error of your billing ways — and changing them immediately — could get you off punishing Targeted Probe … Continue Reading →
Fraud & Abuse: Fraud Report Tallies Hospice Enforcement Activities
High-profile cases paint industry with fraud brush. The hospice industry continues to draw fraud-fighting attention from the feds, as shown in a recent report on the Health Care Fraud and … Continue Reading →
Quality: How Does Your Live Discharge Rate Stack Up To Your Peers?
New quality measure aims to ID discharges followed by hospitalization or death. Concerns about hospices discharging patients alive continue, and a newly proposed quality measure takes aim at the sore … Continue Reading →
Payment: MedPAC Thinks You Don’t Need A Rate Increase
LOS is on the rise again. Chances of you getting a decent payment rate increase next year are slimmer, thanks to a recent report from the Medicare Payment Advisory Commission once again … Continue Reading →
Appeals: Weigh New Appeal Options Carefully
Your ALJ success rate should factor into your decision, legal experts advise. Don’t forget that the Low-Volume Appeals route isn’t the only way to speed your resolution of Medicare claims … Continue Reading →
Assessment: Take A Closer Look At New GG0170 Items
Do your staff understand the difference between ‘Partial/moderate’ and ‘Substantial/maximal’ assistance when scoring mobility? In OASIS-D, the Centers for Medicare & Medicaid Services proposes that clinicians score the following abilities based on this … Continue Reading →
Education: Tip: Stress The Importance Of Avoiding Dashes
Now’s the time for clinicians to polish their general OASIS coding skills. With the OASIS-D changes bearing down on home health agencies, providers are ready to take action — but … Continue Reading →
OASIS: Use These 9 Steps To Gain Mastery Over OASIS-D
23 Tip: Make real-life scenarios part of your staff training. Come January, your reimbursement, outcomes, star ratings, and more will depend on a seriously revamped OASIS tool. Use this expert … Continue Reading →