Learn from original PCR run, trade group tells Medicare officials. Unlike with the original Pre-Claim Review demonstration, home health agencies are hoping to head off the medical review project before … 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 →
Round timing is provider-specific under new initiative. Getting a clear picture of the Targeted Probe & Educate program’s impact on the home care industry is complicated by “round” confusion. Old … Continue Reading →
Ignoring ADRs pretty much guarantees more review, expert warns. The consequences for not performing well under Targeted Probe & Educate review can be harsh — and eventually fatal to your … Continue Reading →
Plan of Care denials top Palmetto GBA’s list. Another HHH MAC has released preliminary Targeted Probe & Educate review results, and they again bode ill for home health agencies. HHH … 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 →
Know these 3 crucial differences between the old and new PCR program. Just when you thought Pre-Claim Review was in your rearview mirror, Medicare has put the reviled prepayment review … Continue Reading →
Watch out for this common supervisory mistake when furnishing staff criticism. Your employees look to you for constructive ways to improve their performance. Avoid the temptation to spout what management … Continue Reading →
