The industry is still living down the Dr. Jacques Roy case. Don’t expect fraud and abuse scrutiny to let up any time soon, with the HHS Office of Inspector General reporting $2.4 … Continue Reading →
IMPACT Act-sparked additions are headed your way soon. Focus your attention on the OASIS changes the Centers for Medicare & Medicaid Services has in store for 2019. CMS will add three GG … Continue Reading →
New GG items should top your priority list. If you think the changes coming to OASIS in January are relatively minor because they involve lots of dropped items and only … Continue Reading →
Remember, you won’t get any more GEMs. Question: I often find myself coding ICD-9 in my head and then using a tool to “translate” to ICD-10, just because I’ve used ICD-9 … Continue Reading →
Improving your billing rate in the middle of a Targeted Probe & Educate round could save you. Seeing the error of your billing ways — and changing them immediately — … Continue Reading →
Will a decades-long prohibition on physician referrals and ownership get the ax? Home care and other medical care providers have lived with Stark Law restrictions since the 1990s, but don’t … Continue Reading →
Key: Help show that aide services will ‘reduce avoidable emergency and healthcare utilization.’ Exactly how much a new broadening of the Medicare Advantage benefit rules will affect home care providers … Continue Reading →
09 Comment early and often. If you think Medicare needs to change some things about the newly unveiled OASIS-D tool that takes effect Jan. 1, don’t wait until the last … Continue Reading →
Some newly announced changes for home health agency cost reports may alter how you submit them. Transmittal 18, issued by the Centers for Medicare & Medicaid Services last month, updates Chapter 32, Home … Continue Reading →
If you’re a hospice provider that’s been hit with an overpayment request from a Recovery Audit or other government contractor, and you’ve exceeded your per beneficiary cap, there may be … Continue Reading →
