Hospice coughs up $3 million for integrity agreement settlement. A whistleblower lawsuit filed by hospice physicians has cost one nonprofit Florida hospice $2.5 million — and it could have been … Continue Reading →
Plus: See how much Medicare’s behavioural adjustments are stripping from base rate. If you thought your home health agency impact file outlining the Patient Driven Groupings Model’s effects is the … Continue Reading →
CMS plans OASIS-D educational sessions. The wait is over — mostly. Medicare has released the guidance manual for the significant OASIS changes that are coming Jan. 1. Reminder: Back in March, … Continue Reading →
Change could lead to more accurate profit margin figures. Payment reform and rate increases may be grabbing most of the spotlight in the 2019 Home Health Prospective Payment System proposed … Continue Reading →
CMS aims to reduce provider burden with new criterion. Medicare officials have made a lot of noise about reducing providers’ regulatory burdens. While home health agencies may not feel like … Continue Reading →
F2F reform is what’s really needed, expert urges. After years of punishing claims denials based on a physician requirement to furnish an estimate of service length for a recert, Medicare … Continue Reading →
Data helps pinpoint winners, losers under new payment system. Aside from budget neutrality, the PDGM payment reform model Medicare has proposed for 2020 may look basically the same as last … Continue Reading →
LUPAs thresholds to vary under PDGM. The home care industry may hate the idea, but CMS is pushing ahead with its proposal to phase out Requests for Anticipated Payment under … Continue Reading →
CMS listened to HHGM commenters and revised the case mix category methodology. The newly proposed payment reform model will increase payment for an episode when the claim contains certain secondary … Continue Reading →
New PDGM is HHGM with a few tweaks. If you didn’t like Medicare’s ideas on home health payment reform last year, you’re probably not going to be happy with its … Continue Reading →
