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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
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 →
