Know Your Facts: Live Discharge Rate Dropped Again In 2017
LOS ticks upward. You have only a matter of days left to give Medicare your two cents on its proposed rule for hospice payment for next year. Consider these 2017 … Continue Reading →
Tag: Hospice
Medical Review: Industry Mobilizes For Pre-Claim Review Opposition
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 →
Review Choice Demonstration: This State To Go First In Revived Pre-Claim Review Demo
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 →
Finance: Majority Of Cost Reports Would Fail New Edits, CMS Analysis Finds
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 →
Reimbursement: Hospices To See 1.8% Pay Bump Starting In October
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 →
Medical Review: Revise Your Thinking On TPE Rounds
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 →
Compliance: Use These 7 Tips To Protect Your Claims Against TPE Denials
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 →
Targeted Probe & Educate: Nearly 1/3 Of Claims Fail Palmetto TPE Review So Far
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 →
Reimbursement: Face-To-Face Problems Drive PCR Troubles
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 →
Pre-Claim Review: It’s Baaaack — CMS Re-Proposes Home Health Pre-Claim Review
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 →