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 →
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 →
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 →
Patients over Paperwork initiative results in some small — very small — proposed changes. A dab of regulatory relief is better than none at all — or is it? On … Continue Reading →
Aides’ med administration, verbal order clarifications welcome. While there is a lot to be worried about in the newly released final Interpretive Guidelines for the Home Health Conditions of Participation, … Continue Reading →
Medicare tweaked testing IGs — but not enough. The final Interpretive Guidelines for the Home Health Conditions of Participation contain a little good news and a lot of bad news … Continue Reading →
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 →
One MAC releases new stats about the medical review program. As Targeted Probe & Educate rolls on, home health agencies are increasingly getting flattened by the new medical review program. … Continue Reading →
SOC, reprisal IGs could give agencies trouble. Home health agencies have a lot to worry about under the new finalized Interpretive Guidelines. Check out two of the top changes to … Continue Reading →
